Patient Connection Authorization Associate

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IDR is seeking a dedicated and experienced Patient Connection Authorization Associate to join one of our top clients for a fully remote opportunity. This role involves liaising with insurance companies and other third-party payers to determine pre-certification, pre-authorization, and medical necessity requirements for complex outpatient hospital services. If you are looking for an opportunity to join a large organization and work within a team-oriented culture, please apply today!

Position Overview/Responsibilities for the Patient Connection Authorization Associate:

• Obtain pre-certifications, authorizations, and referrals via direct contact, payer websites, or insurance tools to ensure managed care compliance.
• Accurately enter authorization details and relevant information into EPIC, including contact names and conversation notes.
• Use critical thinking to identify and resolve potential issues that could result in claim denials, helping to maximize reimbursement.
• Adhere to our client’s policies and procedures, along with payer-specific requirements for scheduled procedures.
• Maintain a focus on delivering a positive patient experience.
• Collect and update patient demographic, financial, and clinical information necessary for financial clearance.
• Validate all required data elements for accurate account creation in Revenue Cycle systems.
• Notify payers of patient admission when required.
• Estimate patient financial responsibility, especially for complex procedures.

Required Skills for Patient Connection Authorization Associate:

• Minimum of 3 years experience in Revenue Cycle or related experience in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.
• Proven ability to manage multiple priorities and meet deadlines.
• Proficient in Microsoft Office applications and EPIC.
• Solid understanding of how Revenue Cycle impacts financial outcomes.
• Ability to train and mentor team members and new employees.

What’s in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization
• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated’s Best of Staffing® Client and Talent Award winner 12 years in a row

#LI-remote

IDR is an equal opportunity employer. We provide reasonable accommodations for disabled employees and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, marital status, criminal history, or any other protected category under applicable federal, state, or local laws. We consider all qualified applicants, including those with criminal histories, in compliance with applicable Fair Chance laws.

To comply with civil rights laws, we invite applicants to voluntarily self-identify their race, ethnicity, gender, and veteran status. This information is confidential, optional, and will not affect your application. You may access this form here.

Pursuant to pay transparency laws, salary ranges and benefits will be disclosed where required by law. Compensation is based on factors such as experience, skills, and qualifications.

If you require a reasonable accommodation during the application or interview process, please contact Human Resources at hr@idr-in.com

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