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Patient Access Assoc II Insurance Authorization Specialist_COFR
$38,230 - $55,432/Yr
Intermountain Health - Broomfield, CO
posted about 2 months ago
Full-time
Broomfield, CO
Hospitals
About the position
The Patient Access Associate II Insurance Authorization Specialist is responsible for registering patients and collecting necessary demographic, financial, and clinical information. This role involves verifying clinician credentials, ensuring compliance with payer-specific billing and authorization requirements, and managing patient accounts, including payment collection and follow-up on appeals and denials.
Responsibilities
- Register patients in multiple service lines and collect necessary demographic, financial, and clinical information.
- Verify the ordering clinician credentials for outpatient encounters.
- Work daily reports to ensure compliance with payer-specific billing and authorization requirements.
- Obtain and verify necessary demographic and billing information for eSummit.
- Collect amounts owed for medical services and contact patients to secure payment.
- Assist with follow-up on appeals and denials, answer inquiries, and update accounts as necessary.
Requirements
- High School Diploma or equivalent required.
- Minimum of one (1) year of experience in a 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.
Benefits
- Comprehensive benefits package covering a wide range of wellness programs.
- Commitment to diversity, equity, and inclusion.
