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1 Prior Authorization Specialist Job in Fruita, CO

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Family Health West Employment Opportunities
Fruita, CO | Full Time
$41k-50k (estimate)
8 Months Ago
Prior Authorization Specialist
$41k-50k (estimate)
Full Time 8 Months Ago
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Family Health West Employment Opportunities is Hiring a Prior Authorization Specialist Near Fruita, CO

You belong here! At Family Health West, you’re more than an employee, you’re family. 

When you enter our facility, you know it’s Family Health West because, well, the color speaks for itself. You’ll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals. 

When we say you’ll do what you love, we mean it! Welcomed by open arms and warm smiles, you’ll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that’s what got us to the top! You’ll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado.

So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day. If it still sounds too good to be true, come see for yourself. Call us to schedule a tour and meet your new best friends!

About Family Health West

Our roots go deep -- founded by the community in 1946, it’s no wonder our hospital feels like coming home. We were built from the ground up with the hands of our own community, a labor of dedication and hope by our people, for our people, for the future. 

At Family Health West we go beyond what corporate hospitals deliver, we’ve created a culture of prosperity where warmth, passion, and care flourishes. As we focus on continually improving outcomes for patients, our network of healthcare providers includes a 25-bed critical access hospital, one of the largest rehab providers in western Colorado, outpatient surgical services, specialty clinics, emergency services, skilled nursing, and assisted living facilities.

Nestled at the base of the Colorado National Monument, Family Health West has an outdoor paradise at your back door. The community culture is fitting for outdoor lovers, bikers, hikers, or those just simply soaking in the panoramic views.

Essential Functions

  • Answer phone calls from physician offices, hospitals, and patients using exceptional customer service skills in a timely and efficient manner.
  • Accurately enter patient information into computer in a timely and efficient manner.
  • Verify insurance eligibility on all patients prior to their scheduled appointment in an efficient and timely manner.
  • Scan all documentation into patient electronic chart in a timely and efficient manner.
  • Request any necessary documentation/information from outside providers to complete prior authorizations.
  • Obtain prior authorization by calling patients insurance company, assisting patient’s with questions and offering assistance.
  • Develop strong organizational structure, workflow and operating procedures for department under the directing of the Coordinator/Manager
  • Prepare and send all referrals/documentation to outside providers
  • Update EHR with prior authorization numbers, insurance information and any other relevant information.
  • Follow up on patient referrals that have not yet scheduled an appointment
  • Maintain patient confidentiality
  • Assist the department with scheduling, prioritizing tasks, confirmation phone calls, etc.
  • Establish effective rapport with other employees, patients, vendors, etc.
  • Other job related duties as assigned.

Opening Info: Position will be open until filled.

Wage Range

The wage range for this position is $18.37 - $24.69

Immunizations required for employment, including COVID-19.

Benefits

FHW offers a full benefits package including:
FOR ALL EMPLOYEES:
Employee Assistance Program
403 (B) with 4% match from FHW and zero day vesting schedule
FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK
Medical Plan Options:
I. PPO plan with copay/coinsurance and lower deductible
II. High Deductible Health Plan with the option for a Health Savings Account.
III. Telemedicine includes in both plan options.
Dental
Vision
Life Insurance/ Accidental Death and Dismemberment Insurance
Disability Insurance with a Short and Long Term Option.
Critical Illness and Accident Plans
Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare

A host of other options to include: Pet Insurance, Identity Protection, Travel protection.

Job Summary

JOB TYPE

Full Time

SALARY

$41k-50k (estimate)

POST DATE

09/01/2023

EXPIRATION DATE

04/28/2024

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The job skills required for Prior Authorization Specialist include Prior Authorization, Customer Service, Scheduling, Confidentiality, EHR, Dedication, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
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