Prior Authorization Representative I
Intermountain Health · Murray, UT · 3 wk ago
On-siteOTHR$18.85–$25.61/hrFull-time
Schedule: Monday - Friday 8:00am - 4:30pm
Responsibilities
- Confirms, enters, and/or updates required demographic data on patient and guarantor.
- Accurately verifies all pertinent patient-related insurance eligibility, benefits, and authorization; follows 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.
Skills
- Revenue Cycle
- Insurance Eligibility
- Office 365
- EMR Technology
- Customer service
- Time management
- Medical terminology
- Medical coding
- Accuracy
- Productivity
Requirements
- Demonstrated experience in a healthcare revenue cycle role utilizing authorization tools.
- Basic understanding of medical terminology.
- Demonstrated experience in a customer service role.
- Strong attention to detail and accuracy.
- Basic understanding of healthcare billing and coding procedures.
Qualifications
- Preferred: High School Diploma or Equivalent from an accredited institution.
- Preferred: Two (2) years of healthcare revenue cycle experience.
- Preferred: Two (2) years of experience in a customer-service related role.
- Preferred: EPIC experience.
Physical Requirements
- Ongoing need to see and read information, labels, monitors, identify equipment and supplies, and assess customer needs.
- Frequent interactions with customers requiring clear communication and understanding of spoken information, alarms, needs, and issues quickly and accurately.
- Manual dexterity to manipulate complex and delicate equipment with precision, including 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.
Pay
$18.85 - $25.61 per hour, dependent upon experience.
Benefits
Comprehensive benefits package covering mind, body, and spirit, including programs for health, happiness, security, connection, and engagement.
Location: Vine Street Office Building, Murray, Utah
Scheduled Weekly Hours: 40