Pre-Access Authorization Specialist

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

📋 Description

• Verify and finalize insurance eligibility.

• Obtain prior authorization.

• Handle authorization-related denials to promote patient financial well-being.

• Confirm, input, and update demographic information for patients and guarantors.

• Validate patient insurance eligibility, benefits, and authorization.

• Follow up on appeals and denials when requested.

• Reach out to patients or providers if authorization is not secured prior to the scheduled service date.

• Elevate issues that cannot be independently resolved.

• Maintain both departmental and individual work queues.

• Review work for quality assurance and due diligence.

• Achieve or surpass productivity, due diligence, and quality benchmarks.

• Advocate for the organization's mission, vision, and values while adhering to service behavior standards.

⛳️ Requirements

• High School Diploma/Equivalent OR 4 years of experience in revenue cycle management.

• At least 2 years of experience in insurance authorization.

• Understanding of revenue cycle processes.

• Proficient in technical and technological skills.

• Strong customer service abilities.

• Effective time management skills.

• Knowledge of medical terminology.

• Familiarity with medical coding.

• Competency proficiency.

• Capability to view and interpret information, labels, monitors, identify equipment and supplies, and assess customer needs.

• Ability to communicate and comprehend spoken information, alarms, needs, and issues promptly and accurately.

• Manual dexterity to handle intricate and delicate equipment with precision and accuracy.

• For positions that necessitate driving: must have the ability to operate a vehicle and read signs and traffic signals.

🏝️ Benefits

• Comprehensive benefits package that includes programs for wellness, health, security, connection, and engagement.

• Remote work expectations involve the use of company-provided equipment.