Job details

Pre-Access Insurance Authorization Specialist

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Job Description:

Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative.

Scope

As an Insurance Authorization Specialist you need to know how to:

Verify the ordering clinician credentials for add on outpatient encounters.
Work daily reports to ensure all payer specific billing requirements and authorization requirements are met.
Obtain and verify necessary demographic and billing information for eSummit.
Collect amounts owed for medical services including contacting the patient to secure payment.
Assist with the follow up on appeals, denials, answer inquiries and update accounts as necessary.

Minimum Qualifications
- High School Diploma or equivalent, required-

Minimum of one (1) year of experience in medical office setting working with insurance authorization, required

- Knowledge of state Medicaid/Medicare programs, payment assistance/charity programs, payer requirements for authorization and billing, ICD-9, ICD-10 and CPT coding, required

The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington

Physical Requirements:

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.81 - $26.65

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.

Average salary estimate

$47313.5 / YEARLY (est.)

min

max

$39144K

$55483K

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What You Should Know About Pre-Access Insurance Authorization Specialist, IMH

As a Pre-Access Insurance Authorization Specialist at Peaks Regional Office, you'll play a crucial role in ensuring that patients receive the best possible care right from the start. Your day-to-day tasks will include registering patients across various service lines and collecting essential demographic, financial, and clinical information. You’ll be verifying the credentials of clinicians for outpatient encounters and meticulously working through daily reports to meet all payer-specific billing and authorization requirements. If you have a knack for detail and a passion for helping people, this position might be perfect for you! You’ll also reach out to patients to collect payments, follow up on appeals and denials, and keep accounts updated. Ideally, you'll have at least one year of hands-on experience in a medical office dealing with insurance authorizations and a solid understanding of both state Medicaid/Medicare programs and related coding. If you enjoy a role that blends administration with customer interaction and have an eye for compliance, join us and make a difference in patients’ lives at Peaks Regional Office. With a supportive culture and a competitive benefits package, we foster an environment where our caregivers can thrive both professionally and personally.

Frequently Asked Questions (FAQs) for Pre-Access Insurance Authorization Specialist Role at IMH

What are the key responsibilities of a Pre-Access Insurance Authorization Specialist at Peaks Regional Office?

A Pre-Access Insurance Authorization Specialist at Peaks Regional Office is responsible for registering patients, gathering demographic and clinical information, verifying clinician credentials for outpatient encounters, and managing billing requirements. You’ll also handle payment collections, assist with appeals and inquiries, ensuring smooth operational processes within the healthcare facility.