Job Description:Responsible for obtaining prior authorizations for patients and physician offices. Obtains and inputs all necessary demographic, financial, and clinical information from the patient, representative or physicians office.Schedule - Monday - Friday 7 am - 5 pm. Training will be in office. This position is being offered remote to local Utah applicants.This position performs prior authorizations for patients and physician offices and is part of a collaborative work team. The incumbent works and communicate directly with appropriate clinical services, insurance companies. The incumbent obtains prior authorizations at multiple facilities within the region. The position reports to the Regional Scheduling Manager.Job Essentials
Verifies the accuracy of EMPI link, and identifies and reports possible identity theft.
Interacts with patients, physicians, office staff, or representatives to obtain required authorization information.
Interacts with insurance payers to provide essential information for pre-authorization.
Inputs authorization information, patient demographic data, insurance carrier information, and other essential admission information into a database so that appropriate billing, reporting, and analysis can be performed by facility, corporate, state and federal agencies.
Provides explanations of legal documents to customers in accordance with regulatory requirements.
Maintains performance measures determined reasonable for the position.
May lead and/or train new employees.
Minimum Qualifications
Three years customer service experience within the last five years.
Demonstrated ability to work effectively in time sensitive situations, manage multiple priorities effectively, and to make prompt, responsible decisions.
Demonstrated computer proficiency.
Preferred Qualifications
Bi-lingual Spanish speaking.
Data entry or clerical experience in a medical office setting within the last three years.
Negotiation or collection experience within the last three years.
Demonstrated knowledge of medical terminology.
Experience with Intermountain scheduling or RCO functions.
Physical Requirements:
Interact with others requiring the employee to communicate information.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Anticipated job posting close date:02/27/2024Location:TOSHWork City:MurrayWork State:UtahScheduled Weekly Hours:0The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$17.68 - $24.02We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utmsource=Workday&utmmedium=Redirect&utmcampaign=CareerHomeworkday) .Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.Learn more about diversity at Intermountain, here. (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/)Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.All positions subject to close without notice.Thanks for your interest in continuing your career with our team!