Offer summary

Qualifications:

High School Diploma or equivalent required., Minimum of one year of experience in a medical office setting with insurance authorization., Knowledge of state Medicaid/Medicare programs and payer requirements for authorization and billing is essential., Familiarity with ICD-9, ICD-10, and CPT coding is required..

Key responsabilities:

Verify ordering clinician credentials and ensure compliance with payer-specific billing requirements.

Collect payments for medical services and assist with follow-ups on appeals and denials.

Update accounts and respond to inquiries as necessary.

Job description

Job Description:

Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative.

Scope

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.

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, required

The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington

Physical 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 Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.81 - $26.65

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.

Learn more about our comprehensive benefits package here.

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.

Required profile