Job Description:
The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health.
The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington
Essential Functions
Confirms, enters, and/or updates required demographic data on patient and guarantor
Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested
Contacts patient/provider when authorization is unsecured prior to scheduled date of service
Effectively escalates issues which cannot be resolved independently
Maintains departmental/individual work queues and reviews self-quality for due diligence
Meets or exceeds departmental productivity, due diligence and quality standards
Promotes mission, vision, and values and abides by service behavior standards
Skills
Revenue cycle knowledge
Technical/technology acumen
Customer service
Time management
Medical terminology
Medical coding
Competency proficiency
Physical Requirements:
Qualifications
High School Diploma/Equivalent OR 4 years of revenue cycle experience
Minimum of 2 years insurance authorization experience
Physical Requirements
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.97 - $29.33
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.