Patient Access Associate II Insurance Authorization Specialist

1 week ago


Webster, New Hampshire, United States Intermountain Health Full time

Job Summary:

As an Insurance Authorization Specialist II at Intermountain Health, you will play a critical role in ensuring seamless patient registration and authorization processes. Your expertise will be essential in verifying clinician credentials, managing daily reports, and collecting patient information for eSummit.

Key Responsibilities:

  • Verify clinician credentials for add-on outpatient encounters
  • Work daily reports to ensure payer-specific billing requirements and authorization requirements are met
  • Obtain and verify demographic and billing information for eSummit
  • Collect amounts owed for medical services, including contacting patients to secure payment
  • Assist with appeals, denials, and account updates as necessary

Requirements:

  • High School Diploma or equivalent, required
  • Minimum of one (1) year of experience in a 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

Physical Requirements:

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

Benefits:

At Intermountain Health, we care about your well-being – mind, body, and spirit. We provide a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness. Learn more about our comprehensive benefits packages and our commitment to diversity, equity, and inclusion.

Equal Opportunity Employer:

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.



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