Patient Access Services Authorization Representative

Banner Health

. Perform insurance verification and authorization functions supporting Patient Access Services .

Posted 10/2/2026full-timeRemote • Colorado • United StatesMid-LevelSenior💰 $20 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare insurance verification and authorization processes, with a strong focus on CPT and ICD coding. Capable of managing multiple tasks independently while maintaining high productivity and accuracy in a remote work environment.

Highest-signal resume keywords

Healthcare Insurance Authorizations ExperienceCPT and ICD Code KnowledgeCustomer Service SkillsDetail-Oriented Work EthicCRCR and/or CHAA Certification

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance VerificationAuthorization InitiationPatient Demographic ValidationReferral Process ExplanationAuthorization Submission ToolsPayer WebsitesClinical Data VerificationDocumentation and Record MaintenanceProblem-Solving SkillsBusiness Skills

Soft Skills

Excellent Organizational SkillsHuman Relations SkillsCommunication Skills

Tools & Technologies

Third-Party Authorization Submission SoftwareCommon Office SoftwareWord Processing SoftwareSpreadsheet SoftwareDatabase Software

Certifications & Qualifications

CRCR CertificationCHAA Certification

Industry Keywords

Patient Access ServicesHealthcareAuthorization StandardsPeer ReviewRemote Work

About the role

Key responsibilities & impact

Perform insurance verification and authorization functions supporting Patient Access Services
Complete authorization initiation requests with payers for acute and ambulatory visits
Validate existing provider-requested authorizations
Use authorization submission tools, payer websites, documents, and Host systems
Provide authorization numbers and patient demographic information to billing and other appropriate staff
Explain referral processes to physicians and staff
Document and maintain referral and authorization records
Refer encounters for peer review to substantiate ordered procedures
Respond to provider orders for tests, procedures, and specialty visits
Obtain authorizations for single and recurring visits, verifying demographics, codes, service dates, and clinical data
Stay current on payer requirements and use third-party authorization submission software
Work independently from a remote location using structured work routines
Prioritize work and ensure appropriateness and timeliness of patient care
Escalate accounts that do not meet authorization standards and coordinate resolution with providers, scheduling departments, PAS leaders, and administrative groups
Perform related duties, including cross-coverage in other authorization-related areas

Requirements

What you’ll need

High school diploma/GED required
Minimum of three years of experience in healthcare insurance and/or authorizations
Minimum of two years of healthcare insurance authorizations experience in imaging, surgery, pharmacy, or other procedures
At least one year of health insurance experience
Great customer service and problem-solving skills
Basic knowledge of CPT and ICD codes
Reliable internet with Ethernet connection only; no Wi-Fi
Quiet work area/home office
Ability to work Monday–Friday, 8:00 a.m.–5:30 p.m. Mountain Standard Time or Arizona Time
Business skills and experience in the assigned work area
Detail-oriented with ability to maintain high productivity and minimal errors
Advanced abilities with common office, word processing, spreadsheet, and database software
Ability to manage multiple tasks simultaneously with minimal supervision and work independently
Excellent organizational, human relations, and communication skills
Associate’s degree in Business Management or equivalent preferred
CRCR and/or CHAA certification preferred

Benefits

Comp & perks

Great Place To Work® certified employer
Banner Health total rewards package (specific components not listed)