Prior Authorization Specialist, Hospital Admissions

Job overview

The Prior Authorization Specialist role is onsite in Grand Junction, CO, with pay of $19.00–$21.85 per hour, depending on education and experience. The position supports the Hospital Admissions team at Colorado West Healthcare System. The specialist coordinates pre-authorization requests by gathering patient and clinical information, verifying coverage, submitting requests, and following up with insurers. Accurate documentation and communication with patients and providers help support the authorization process and compliance requirements.

What you'll do

• Collect and review medical records, diagnosis codes, and procedure details
• verify patient identity and insurance coverage
• prepare and submit pre-authorization requests
• monitor requests and follow up with insurers
• obtain documentation from providers
• explain the process and potential out-of-pocket costs to patients
• maintain records of requests and decisions
• follow HIPAA and other applicable requirements.

What we're looking for

Skills & competencies

prior authorization

hospital admissions

insurance verification

medical records

patient communication

hipaa

onsite

grand junction co

colorado west healthcare system

$19.00–$21.85/hour

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision insurance
• life insurance
• free parking
• paid time off
• education assistance
• 403(b) with employer matching
• wellness program. Additional benefits may depend on employment status.

Why this role

The posting states that relocation to Grand Junction, CO 81505 is required after starting work; the work location is in person.

About the employer

Colorado West Healthcare System is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.