Pre Access Authorization Specialist I

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

📋 Description

• Verify and finalize insurance eligibility

• Obtain prior authorization

• Address authorization-related denials to enhance patient financial well-being

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

• Assess patient insurance eligibility, benefits, and authorization

• Follow up on appeals and denials as needed

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

• Effectively escalate unresolved issues

• Maintain both departmental and individual work queues

• Review work for quality and thoroughness

• Meet or surpass productivity, due diligence, and quality benchmarks

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

⛳️ Requirements

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

• At least 2 years of experience in insurance authorization

• Knowledge of revenue cycle processes

• Proficient in technical and technological aspects

• Strong customer service skills

• Effective time management abilities

• Familiarity with medical terminology

• Understanding of medical coding

• Competency in relevant proficiency areas

• Ability to accurately verify insurance eligibility, benefits, and authorization

• Capable of quickly and accurately communicating and comprehending spoken information, alarms, needs, and issues

• Competence in computer, phone, and cable setup and usage

• Must adhere to applicable Intermountain policies and remote work expectations, including confidentiality, information security, work schedules, conflicts of interest, and company equipment usage

🏝️ Benefits

• Comprehensive benefits package that supports wellness initiatives focusing on living healthily, happily, securely, connectedly, and engagingly

• Provision of company equipment and remote work support as indicated by remote work expectations and company equipment usage