[Hiring] Patient Access Services Authorization Representative @Banner Health

Role Description

This position performs insurance verification and authorization functions that support Patient Access Services and ensures compliance with both department standards and billing requirements. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. This position is expected to reduce authorization-related initial denials/write-offs.

• Uses department procedures and new hire training to accurately complete authorization initiation requests with payers for all service lines and validates existing authorizations requested by providers.
• Completes authorization initiation for acute and ambulatory visits.
• Utilizes standard authorization submission tools, websites, and documents authorization updates in Host systems.
• Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing.
• Documents and maintains records of all referral activity and authorizations in appropriate Host fields.
• Refers encounters for peer review to substantiate ordered procedures.
• Responds to “provider orders” for tests, procedures, and specialty visits.
• Obtains authorizations for single and/or reoccurring visits required by various payers, including verification of patient demographic information, codes, dates of service, and clinical data.
• Stays current on payor requirements and utilization of third-party authorization submission software to complete authorizations.
• Works independently from a remote location and follows structured work routines.
• Works in a fast-paced environment requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care.
• Follows escalation protocols for accounts not meeting authorization standards by working with the ordering provider, scheduling departments, PAS leaders, and administrative groups for resolution in all acute, ambulatory, Banner Imaging, and Oncology service lines.
• Performs other related duties as assigned, which may include cross-coverage in other authorization-related areas.

Qualifications

• High school diploma/GED is required.
• Requires minimum of three years of experience in healthcare insurance and/or authorizations.
• Business skills and experience in the assigned work area are required.
• Must be detail oriented.
• Must be able to maintain high productivity standard with minimal errors.
• Advanced abilities in the use of common office software, word processing, spreadsheet, and database software are required.
• Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Excellent organizational skills, human relations, and communication skills required.

Requirements

• Must have 2 or more years of healthcare insurance authorizations (Imaging, Surgery, Pharmacy, or other procedures).
• 1+ years of health insurance experience.
• Great customer service skills and problem-solving skills are needed.
• Must have basic knowledge of CPT and ICD Codes.
• Reliable internet (NO WIFI, Ethernet Connection only) and a quiet work area/home office are required.
• Schedule: Monday - Friday 8:00am to 5:30pm Mountain Standard Time or Arizona Time.

Benefits

• Opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader.
• Stimulating and rewarding careers in a wide array of disciplines.

Company Description

Good health care is key to a good life. We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care.

You have a place in the health care industry. There’s more to health care than IV bags and trauma rooms. We support all staff members as they find the path that is right for them. If you’re looking to leverage your abilities – you belong at Banner Health. Apply today!