What are the responsibilities and job description for the Prior Authorization Specialist position at Lower Valley Hospital Association?
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 starts at $19.65 and goes up based on experience.
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.
Experience
Required- Must have at least two (2) years of experience in the medical field and a minimum of one (1) year experience working with insurance companies.
Education
Required- High School or better
Salary : $20
