PAS Authorization Representative

🔥 1 minute ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Obtain and complete insurance authorization requests • Verify insurance benefits and validate authorization requirements • Verify patient insurance and accurately enter information into systems • Thoroughly document accounts to maximize reimbursement and minimize denials and penalties • Contact and work regularly with patients, insurance companies, and providers • Meet monthly individual accuracy and productivity goals set by management • Complete authorization initiation requests with payers for acute and ambulatory visits • Validate existing provider-requested authorizations • Use authorization submission tools and websites and document updates in Host systems • Provide authorization numbers and patient demographic information to staff and billing • Explain referral processes to physicians and staff • Maintain referral and authorization records • Refer encounters for peer review • Respond to provider orders for tests, procedures, and specialty visits • Obtain authorizations for single and recurring visits, verifying demographics, codes, service dates, and clinical data • Stay current on payer requirements and use third-party authorization submission software • Work independently from a remote location using structured routines • Prioritize work and ensure timely, appropriate patient care • Escalate accounts that do not meet authorization standards • Collaborate with ordering providers, scheduling departments, PAS leaders, and administrative groups • Provide cross-coverage in other authorization-related areas as assigned

🎯 Requirements

• High school diploma/GED is required • Minimum of three years of experience in healthcare insurance and/or authorizations • 3 years of procedure auth/referral experience or surgery scheduler experience needed • Business skills and experience in the assigned work area • Detail oriented • Ability to maintain high productivity standards with minimal errors • Advanced abilities in common office software, word processing, spreadsheet, and database software • Ability to manage multiple tasks simultaneously with minimal supervision • Ability to work independently • Excellent organizational, human relations, and communication skills • Completion of post-offer Occupational Health physical assessment, drug screen, and background check required • Associate’s degree in Business Management or equivalent preferred • Certification in CRCR and/or CHAA preferred • Additional related education and/or experience preferred

🏖️ Benefits

• Competitive wages • Paid orientation and training • Weekly pay • 403(b) Pre-tax retirement • Resources for living (Employee Assistance Program) • MyWell-Being (Wellness program) • Discount Entertainment tickets • Restaurant/Shopping discounts • Internal applicant eligibility for regular Banner Health opportunities • No medical benefits package or paid time off is offered for Registry/Per Diem positions

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