Patient Access Services Authorization Representative

🔥 12 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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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

• Perform insurance verification and authorization functions supporting Patient Access Services • Accurately complete authorization initiation requests with payers for all service lines • Validate existing authorizations requested by providers • Complete authorizations for acute and ambulatory visits using standard submission tools and websites • Document authorization updates and referral activity in Host systems • Provide authorization numbers and patient demographic information to billing and other appropriate staff • Explain referral processes to physicians and staff • Refer encounters for peer review to substantiate ordered procedures • Respond to provider orders for tests, procedures, and specialty visits • Obtain authorizations for single and recurring visits, verifying demographics, codes, dates of service, and clinical data • Stay current on payer requirements and use third-party authorization submission software • Work independently from a remote location and follow structured work routines • Prioritize work and ensure appropriateness and timeliness of patient care • Escalate accounts not meeting authorization standards to providers, scheduling departments, PAS leaders, and administrative groups • Perform other related duties, including cross-coverage in authorization-related areas

🎯 Requirements

• High school diploma/GED required • Minimum of three years of experience in healthcare insurance and/or authorizations • Minimum of two or more years of healthcare insurance authorizations in Imaging, Surgery, Pharmacy, or other procedures • Minimum of one year of health insurance experience • Basic knowledge of CPT and ICD Codes • Reliable internet with Ethernet connection only; Wi-Fi is not permitted • Quiet work area/home office • Great customer service and problem-solving skills • 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 • Certification in CRCR and/or CHAA preferred • Associate’s degree in Business Management or equivalent preferred

🏖️ Benefits

• Great Place To Work® certified employer • Remote work arrangement • Monday–Friday day schedule • Opportunity to support a nationally-recognized healthcare leader • Stimulating and rewarding careers • Drug-free work environment