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IH
Intermountain Health
Pre-Access Authorization Specialist
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Job Description
Fully Remote Peaks Regional Office Full time R184045
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.
- We are committed to offering flexible work options where approved and stated in the job posting.
- Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.
- 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 •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.
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:
- 40 The hourly range for this position is listed below.
Benefits
- Dental Insurance
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Scorecard
Based on Texas data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$46,315 / year median in Texas
+19% projected growth