Patient Access Associate II Insurance Authorization Specialist PRN

4 weeks ago

Broomfield, United States SCL Health Full time
Job Description

You. This is a PRN "as needed basis" position. Working hours are in Mountain Time

Required previous insurance authorization experience, preferred Oncology, and Infusion

EPIC/Beacon experience

You bring your body, mind, heart and spirit to your work as an Insurance Authorization Specialist.

You're equally comfortable with initiating insurance verification, pre-certification, authorization and obtaining reference numbers from insurance companies.

You're great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.

Us.

System Services is our Corporate Headquarters in Broomfield, Colorado and is located within the Oracle campus. SCL Health is a faith-based, nonprofit healthcare organization dedicated to improving the well-being of the people we serve.

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we've launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.

We.

Together we'll align mission and careers, values and workplace. We'll encourage joy and take pride in our integrity.

We'll laugh at each other's jokes (even the bad ones). We'll hello and high five. We'll celebrate milestones and acknowledge the value of spirituality in healing.

We're proud of what we know, which includes how much there is to learn.

Your day.

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.
Your experience.

We hire people, not resumes. But we also expect excellence, which is why we require:
  • 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


Your next move.

Now that you know more about being an Insurance Authorization Specialist on our team we hope you'll join us. At SCL Health you'll reaffirm every day how much you love this work, and why you were called to it in the first place.

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