Patient Access Services Authorization Representative

🔥 12 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 all service lines and validate existing provider-requested authorizations • Complete authorization initiation for acute and ambulatory visits using submission tools and websites • Document authorization updates in Host systems • Provide authorization numbers and patient demographic information to billing and other appropriate staff • Explain the referral process to physicians and staff • Maintain records of referral activity and authorizations • 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 using structured routines • Prioritize work and ensure appropriateness and timeliness of patient care • Escalate accounts that do not meet authorization standards by coordinating with providers, scheduling departments, PAS leaders, and administrative groups • Perform related duties, including cross-coverage in authorization-related areas • Reduce authorization-related initial denials and write-offs

🎯 Requirements

• High school diploma/GED is required • Minimum of three years of experience in healthcare insurance and/or authorizations • Business skills and experience in the assigned work area • Detail oriented • Ability to maintain high productivity standard with minimal errors • Advanced abilities in common office software, word processing, spreadsheet, and database software • Ability to manage multiple tasks simultaneously with minimal supervision and work independently • Excellent organizational skills, human relations, and communication skills • Associate’s degree in Business Management or equivalent preferred • Certification in CRCR and/or CHAA preferred • Additional related education and/or experience preferred • Reliable internet with Ethernet connection only (NO WIFI) • Quiet work area/home office • Availability Monday–Friday, 8:00am–5:30pm Mountain Standard Time or Arizona Time

🏖️ Benefits

• Great Place To Work® certification • Stimulating and rewarding careers • Opportunity to contribute to award-winning patient care