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Communicate with Healthcare Providers: Collaborate with healthcare providers to obtain any necessary documentation, notes, or additional information required for pre-authorization. Document and Recordkeeping: Maintain detailed records of pre-authorization requests, approvals, denials, and communications with insurance companies and healthcare providers.

HOUR

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

Admissions Jobs in Grand Junction, CO

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Admissions Jobs in Grand Junction, CO

Prior Authorization Specialist I, Hospital Admission, Full-Time Colorado West Healthcare System

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