PAS Authorization Representative

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Obtain and complete requests for insurance authorizations

• Verify insurance benefits and confirm authorization prerequisites

• Check patient insurance and accurately input information into systems

• Thoroughly document accounts to enhance reimbursement and reduce denials and penalties

• Regularly communicate and collaborate with patients, insurance companies, and healthcare providers

• Achieve monthly individual accuracy and productivity targets set by management

• Complete initiation requests for authorizations with payers for acute and outpatient visits

• Validate existing authorizations requested by providers

• Utilize authorization submission tools and websites, documenting updates in Host systems

• Provide authorization numbers and patient demographic information to staff and billing departments

• Clarify referral processes to physicians and staff

• Maintain records of referrals and authorizations

• Refer encounters for peer review

• Respond to provider requests for tests, procedures, and specialty visits

• Obtain authorizations for both single and recurring visits, verifying demographics, codes, service dates, and clinical data

• Stay informed about payer requirements and utilize third-party authorization submission software

• Work independently from a remote location using structured routines

• Prioritize tasks to ensure timely and appropriate patient care

• Escalate accounts that do not meet authorization standards

• Collaborate with ordering providers, scheduling departments, PAS leaders, and administrative teams

• Provide cross-coverage in other authorization-related areas as assigned

⛳️ Requirements

• High school diploma or GED is mandatory

• Minimum of three years of experience in healthcare insurance and/or authorizations

• Three years of experience in procedure authorization/referrals or as a surgery scheduler is required

• Business acumen and experience in the relevant work area

• Strong attention to detail

• Ability to maintain high productivity standards with minimal errors

• Proficient in common office software, including word processing, spreadsheet, and database applications

• Capability to manage multiple tasks simultaneously with limited supervision

• Ability to work independently

• Excellent organizational, interpersonal, and communication skills

• Successful completion of post-offer Occupational Health physical assessment, drug screening, and background check is required

• Associate’s degree in Business Management or a related field is preferred

• Certification in CRCR and/or CHAA is preferred

• Additional related education and/or experience is a plus

🏝️ Benefits

• Competitive compensation

• Paid orientation and training sessions

• Weekly payroll

• 403(b) Pre-tax retirement plan

• Employee Assistance Program for living resources

• MyWell-Being wellness program

• Discounts on entertainment tickets

• Discounts at restaurants and shops

• Eligibility for internal applicants for regular Banner Health opportunities

• No medical benefits package or paid time off is available for Registry/Per Diem positions