Job details

PASC Insurance Authorization Specialist I

Job Description:Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative.ScopeAs 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, requiredPhysical 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 OfficeWork City:BroomfieldWork State:ColoradoScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$18.38 - $26.65We 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 packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .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.

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What You Should Know About PASC Insurance Authorization Specialist I, Intermountain Health

Are you passionate about the healthcare field and looking to make a difference as a PASC Insurance Authorization Specialist I at Intermountain Health in beautiful Denver, CO? This is your chance to play a crucial role in ensuring that patients receive the services they need while managing the essential verification processes that keep everything running smoothly. In this position, you will be responsible for registering patients, gathering necessary demographic, financial, and clinical information, and verifying the ordering clinician’s credentials for outpatient encounters. You'll work with daily reports to ensure all payer-specific requirements are met, while also assisting with appeals and denials. As a key player in our team, your qualifications will include a high school diploma or equivalent and at least one year of experience in a medical office, specifically concerning insurance authorization. Knowledge of Medicaid/Medicare programs and coding is vital as well. You’ll also need strong communication skills, both orally and in writing, as you'll be frequently contacting patients to secure payments and update accounts. If you have a drive to support the well-being of others and a knack for multitasking in a fast-paced environment, we want to hear from you. Join us at Intermountain Health where our commitment to wellness goes beyond our patients and extends into our community and staff!

Frequently Asked Questions (FAQs) for PASC Insurance Authorization Specialist I Role at Intermountain Health

What are the main responsibilities of a PASC Insurance Authorization Specialist I at Intermountain Health?

As a PASC Insurance Authorization Specialist I at Intermountain Health, your primary responsibilities will include registering patients and collecting their demographic, financial, and clinical information. You will verify clinician credentials for outpatient encounters, work on daily reports to ensure compliance with payer-specific billing and authorization requirements, and collect payments for medical services. Additionally, you will assist with appeals and denials, ensuring patient accounts are up-to-date.