Patient Access Services Authorization Representative

🔥 18 hours ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 • Complete authorization initiation requests with payers for acute and ambulatory visits • Validate existing provider-requested authorizations • Use authorization submission tools, payer websites, documents, and Host systems • Provide authorization numbers and patient demographic information to billing and other appropriate staff • Explain referral processes to physicians and staff • Document and maintain referral and authorization records • 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, 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 work routines • Prioritize work and ensure appropriateness and timeliness of patient care • Escalate accounts that do not meet authorization standards and coordinate resolution with providers, scheduling departments, PAS leaders, and administrative groups • Perform related duties, including cross-coverage in other authorization-related areas

🎯 Requirements

• High school diploma/GED required • Minimum of three years of experience in healthcare insurance and/or authorizations • Minimum of two years of healthcare insurance authorizations experience in imaging, surgery, pharmacy, or other procedures • At least one year of health insurance experience • Great customer service and problem-solving skills • Basic knowledge of CPT and ICD codes • Reliable internet with Ethernet connection only; no Wi-Fi • Quiet work area/home office • Ability to work Monday–Friday, 8:00 a.m.–5:30 p.m. Mountain Standard Time or Arizona Time • Business skills and experience in the assigned work area • Detail-oriented with ability to maintain high productivity and minimal errors • Advanced abilities with common office, word processing, spreadsheet, and database software • Ability to manage multiple tasks simultaneously with minimal supervision and work independently • Excellent organizational, human relations, and communication skills • Associate’s degree in Business Management or equivalent preferred • CRCR and/or CHAA certification preferred

🏖️ Benefits

• Great Place To Work® certified employer • Banner Health total rewards package (specific components not listed)