Fully Remote
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.
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.
- 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.
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.41 - $28.14
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.
