Pre-Acess Authorization Specialist I

Intermountain Health

3d•Onsite

About The Position

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.

Requirements

High School Diploma/Equivalent OR 4 years of revenue cycle experience
Minimum of 2 years insurance authorization experience
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy.
This includes frequent computer, phone, and cable set-up and use.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Nice To Haves

Revenue cycle knowledge
Technical/technology acumen
Customer service
Time management
Medical terminology
Medical coding
Competency proficiency

Responsibilities

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