About the Company
Intermountain Healthcare is a not-for-profit system of 33 hospitals, 385 clinics, and a Medical Group with some 4,300 employed physicians and advanced practice providers. We are the largest healthcare provider in the Intermountain West, committed to providing extraordinary care and making people healthier.
Job Description
Intermountain Healthcare is seeking a dedicated and detail-oriented Prior Authorization Coordinator to join our remote team. This is a vital role responsible for managing and submitting prior authorization requests for various medical services, ensuring patients receive timely and necessary care. You will work from the comfort of your home, with a company-provided laptop, supporting our mission to provide excellent healthcare. This position requires strong organizational skills, attention to detail, and a commitment to patient advocacy.
Key Responsibilities
- Process and submit prior authorization requests to insurance companies for medical procedures, medications, and services.
- Verify patient insurance benefits and eligibility, understanding specific plan requirements.
- Collaborate closely with physicians, clinical staff, and patients to gather necessary documentation and information for authorization.
- Track the status of all submitted authorizations and follow up with insurance companies as needed to expedite approvals.
- Document all communications and authorization details accurately in the electronic health record (EHR) system.
- Appeal denied authorization requests, providing additional clinical information and justification.
- Maintain up-to-date knowledge of insurance company guidelines, policies, and regulatory requirements related to prior authorizations.
- Provide excellent customer service to patients and healthcare providers regarding prior authorization status and requirements.
Required Skills
- Minimum 18 months of experience in healthcare administration, medical billing, prior authorization, or a related customer service role within a healthcare setting.
- Strong understanding of medical terminology and coding (CPT, ICD-10).
- Excellent communication skills, both written and verbal.
- Proficient in computer navigation, including electronic health records (EHR) and insurance portals.
- Exceptional organizational skills and attention to detail.
- Ability to work independently and manage multiple tasks in a fast-paced, remote environment.
- Strong problem-solving abilities and a proactive approach.
Preferred Qualifications
- Associate's or Bachelor's degree in Healthcare Administration, Medical Assisting, or a related field.
- Certification in Medical Office Administration or Medical Billing/Coding.
- Previous experience with Intermountain Healthcare systems or similar large healthcare organizations.
- Bilingual proficiency (e.g., Spanish) is a plus.
Perks & Benefits
- Competitive remote salary.
- Comprehensive health, dental, and vision insurance.
- 401(k) with company match.
- Paid time off and holiday pay.
- Company-provided laptop and necessary remote work equipment.
- Professional development and growth opportunities.
- Employee wellness programs.
- Flexible work schedule (within business hours).
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
⚠️ Important Disclaimer
Welcome to Westford Trust. We publish job opportunities aggregated from public sources, employers, and job portals. We never charge any fees to access or use our website; all information is provided entirely for free.
Westford Trust does not directly offer or manage these positions, nor are we directly involved in the hiring process for the vacancies published on https://job.westfordtrust.com.
If you suspect a fraudulent listing or have any questions, please contact us at techturna@gmail.com.