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Skills
Dental Insuranceunmatched
Documentationunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Healthcare Providersunmatched
High School Diplomaunmatched
Insuranceunmatched
Medical Diagnosisunmatched
Medical Recordsunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Patient Admissionsunmatched
Record Keepingunmatched
Regulationsunmatched
Vision Planunmatched
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 August 31, 2026