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Prior Authorization Specialist I, Hospital Admissions, Full Time

salary Salary :

$19 - 21.85 hourly

icon briefcase Job Type : Full Time

Number of Applicants

 : 

000+

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Job Description - Prior Authorization Specialist I, Hospital Admissions, Full Time

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


 

Original job Prior Authorization Specialist I, Hospital Admissions, Full Time posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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