PAS Authorization Representative

Banner Health•Phoenix, AZ

1d•$20 - $31•Remote

About The Position

The PAS Authorization Representative performs insurance verification and authorization functions that support Patient Access Services and ensure compliance with department standards and billing requirements. The role requires retaining changing payor information and knowledge to support reimbursement and reduce authorization-related initial denials and write-offs. The representative obtains and completes insurance authorization requests, verifies insurance benefits and authorization requirements, enters insurance information into systems, and thoroughly documents accounts. The role involves regular contact and coordination with patients, insurance companies, providers, and internal staff. It requires consistently meeting monthly individual accuracy and productivity goals set by management. This is a 3–4-month assignment described as ongoing, with a Monday–Friday schedule from 8:30 a.m. to 5:00 p.m. Arizona Time. The position works independently from a remote location and follows structured work routines. Registry/Per Diem positions have no guaranteed hours and do not include a medical benefits package or paid time off. Post-offer occupational health assessment, drug screen, and background check are required.

Requirements

High school diploma or GED.
At least three years of experience in healthcare insurance and/or authorizations; the posting also specifies three years of procedure authorization/referral experience or surgery scheduling experience.
Business skills and experience in the assigned work area.
Detail oriented, with the ability to maintain high productivity with minimal errors.
Advanced ability to use common office software, word processing, spreadsheets, and database software.
Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
Excellent organizational, human relations, and communication skills.

Nice To Haves

Associate degree in Business Management or equivalent.
CRCR and/or CHAA certification.
Additional related education and/or experience.

Responsibilities

Initiate authorization requests with payers for all service lines, validate existing authorizations requested by providers, and complete authorization initiation for acute and ambulatory visits.
Use standard authorization submission tools, websites, and documents to record authorization updates in Host systems.
Provide authorization numbers and patient demographic information to appropriate staff, including billing, and explain referral processes to physicians and staff.
Document and maintain records of referral activity and authorizations in appropriate Host fields.
Refer encounters for peer review to substantiate ordered procedures.
Respond to provider orders for tests, procedures, and specialty visits; obtain authorizations for single or recurring visits as required by payers.
Verify patient demographic information, codes, dates of service, and clinical data; stay current on payer requirements and third-party authorization submission software.
Prioritize work independently and use sound judgment to ensure appropriate and timely patient care.
Follow escalation protocols to resolve accounts that do not meet authorization standards, coordinating with ordering providers, scheduling departments, PAS leaders, and administrative groups across acute, ambulatory, Banner Imaging, and Oncology service lines.
Perform other related duties as assigned, including possible cross-coverage in other authorization-related areas.