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Prior Authorization Specialist I, Hospital Admissions, PRN/Pool

Job

Your Community Hospital

Grand Junction, CO (In Person)

$42,484 Salary, Full-Time

Posted 3 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/30/2026

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Job Description

Position Highlights:
Position:
Prior Authorization Location:
Hospital Admissions Responsibilities:
Gather Patient Information:
Collect and review patient medical records, diagnosis codes, and procedure details to support the pre-authorization request.
Verify Insurance Coverage:
Confirm patient information and insurance coverage through verifying photo ID, insurance cards, and personal information.
Submit Pre-Authorization Requests:
Prepare and submit pre-authorization requests to insurance companies, adhering to their specific procedures and requirements.
Follow Up:
Monitor the progress of pre-authorization requests and follow up with insurance providers to expedite the approval process. Communicate with
Healthcare Providers:
Collaborate with healthcare providers to obtain any necessary documentation, notes, or additional information required for pre-authorization.
Patient Education:
Explain the pre-authorization process to patients, including potential out-of-pocket costs, and address any questions or concerns they may have.
Document and Recordkeeping:
Maintain detailed records of pre-authorization requests, approvals, denials, and communications with insurance companies and healthcare providers.
Compliance:
Ensure that all pre-authorization processes comply with relevant laws and regulations, including HIPAA (Health Insurance Portability and Accountability Act).
Requirements:
High school diploma or equivalent. Knowledge of medical terminology preferred.
Compensation:
$19.00 - $21.85 per hour, depending on education and experience. Discretionary bonuses, relocation expenses, merit increase, market adjustments, recognition bonuses, and other forms of discretionary compensation may be available.
Benefits:
Medical, dental, vision insurance Life Insurance Free Parking Paid time off Education assistance 403(b) with employer matching Wellness Program Additional benefits based on employment status
Additional Information:
Relocation:
Must relocate to Grand Junction, CO 81505 before starting work.
Work Location:
In-person/onsite Application Deadline:
Posting will remain open until June 30, 2026