Medical Authorization Coordinator

3 weeks ago

Grand Junction, Colorado, United States Community Hospital Full time
{"title": "Medical Authorization Coordinator", "content": "Job Summary

We are seeking a highly organized and detail-oriented Medical Authorization Coordinator to join our team at Community Hospital. As a Medical Authorization Coordinator, you will be responsible for completing the essential functions of gathering patient information, verifying insurance coverage, submitting pre-authorization requests, and following up with insurance providers to expedite the approval process.

Key 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).
  • Appeals: If a pre-authorization request is denied, assist in the appeals process by providing necessary documentation and information to support the appeal.
Requirements

To be successful in this role, you will need:

  • A high school diploma or equivalent.
  • Knowledge of medical terminology is preferred.
What We Offer

We offer a competitive hourly pay rate, discretionary bonuses, relocation expenses, merit increases, market adjustments, recognition bonuses, and other forms of discretionary compensation. Eligible employees also participate in an attractive benefits package, including medical, dental, vision, paid time off, education assistance, and a 403(b) plan with employer matching.

Community Hospital is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

", "benefits": "Medical, dental, vision, paid time off, education assistance, 403(b) with employer matching, and more.", "pay": "$ per hour, depending on education and experience."}

  • Prior Authorization Specialist

    4 weeks ago

    Grand Junction, Colorado, United States Express Employment Professionals Full time

    Job Title: Prior Authorization Specialist Job Type: Temporary Assignment Schedule: Monday - Friday, 8:00am - 5:00pm Hourly Rate: $19.00 Job Summary: Express Employment Professionals is seeking a Prior Authorization Specialist for a 2-3 month temporary assignment at a local hospital. As a Prior Authorization Specialist, you will be responsible for...

  • Prior Authorization Specialist

    1 month ago

    Grand Junction, Colorado, United States Express Employment Professionals Full time

    **Temporary Assignment Opportunity**Express Employment Professionals is seeking a skilled Prior Authorization Specialist to join our team for a 2-3 month temporary assignment.**Job Summary:**We are looking for a highly organized and detail-oriented individual to assist with prior authorization requests for a local hospital. The ideal candidate will have...

  • Medical Staff Coordinator

    4 weeks ago

    Grand Junction, Colorado, United States Christian Living Communities Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Staff Coordinator to join our team at Christian Living Communities. As a key member of our healthcare team, you will be responsible for ensuring the delivery of high-quality clinical care to our residents.Key ResponsibilitiesAssess and evaluate each resident's needs and develop...

  • Medical Staff Coordinator

    3 weeks ago

    Grand Junction, Colorado, United States Christian Living Communities Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Staff Coordinator to join our team at Christian Living Communities. As a key member of our healthcare team, you will be responsible for ensuring the delivery of high-quality clinical care to our residents.Key ResponsibilitiesAssess and evaluate each resident's needs and develop...

  • Medical Staff Coordinator

    3 weeks ago

    Grand Junction, Colorado, United States Christian Living Communities Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Staff Coordinator to join our team at Christian Living Communities. As a key member of our healthcare team, you will be responsible for ensuring the delivery of high-quality clinical care to our Assisted Living residents.Key ResponsibilitiesAssess and evaluate each resident's clinical needs...

  • Medical Staff Coordinator

    3 weeks ago

    Grand Junction, Colorado, United States Christian Living Communities Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Staff Coordinator to join our team at Christian Living Communities. As a key member of our healthcare team, you will be responsible for ensuring the delivery of high-quality clinical care to our Assisted Living residents.Key ResponsibilitiesAssess and evaluate each resident's clinical needs...

  • Medical Staff Coordinator

    3 weeks ago

    Grand Junction, Colorado, United States Christian Living Communities Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Staff Coordinator to join our team at Christian Living Communities. As a key member of our healthcare team, you will be responsible for ensuring the delivery of high-quality clinical care to our Assisted Living residents.Key ResponsibilitiesAssess and evaluate each resident's clinical needs...

  • Medical Surgical Registered Nurse

    1 day ago

    Grand Junction, Colorado, United States FlexCare Medical Staffing Full time

    Exciting Travel Nursing OpportunityFlexCare Medical Staffing is seeking an experienced Medical Surgical Registered Nurse for a dynamic travel nursing assignment in Grand Junction, CO.Job DetailsShift: 3x12 hr daysStart Date: ASAPDuration: 13 weeksPay: $2008.12 / WeekBenefits Package:High Pay. Hassel-Free. - Our commitment to offer the maximum pay package for...

  • Medical Office Coordinator

    2 weeks ago

    Grand Junction, Colorado, United States Epiphany Dermatology Full time

    Job Title: Medical ReceptionistWe are seeking a highly organized and detail-oriented Medical Receptionist to join our team at Epiphany Dermatology. As a Medical Receptionist, you will be the first point of contact for patients and will play a critical role in ensuring a positive and efficient experience for our patients.Key Responsibilities:Greet and...

  • Travel Nurse

    2 weeks ago

    Grand Junction, Colorado, United States Fusion Medical Staffing Full time

    Job Title: Medical-Surgical Registered Nurse - Travel PositionFusion Medical Staffing is seeking a skilled Medical-Surgical Registered Nurse for a 13-week travel assignment in Grand Junction, CO.About the JobThis is a fantastic opportunity to work with a reputable healthcare facility and gain valuable experience in a dynamic medical-surgical...

  • Senior Marketing Coordinator

    1 month ago

    Grand Junction, Colorado, United States HDR Full time

    About the RoleAt HDR, we're committed to creating a collaborative culture that fosters trust, inclusivity, and a sense of belonging. As a Senior Marketing Coordinator, you'll play a vital role in helping us achieve our goals by developing and implementing effective marketing strategies that showcase our capabilities and expertise.Key ResponsibilitiesSupport...

  • Senior Marketing Coordinator

    4 weeks ago

    Grand Junction, Colorado, United States HDR Full time

    About the RoleWe are seeking a highly skilled Senior Marketing Coordinator to join our team at HDR. As a key member of our marketing team, you will play a critical role in supporting our pursuit teams in developing persuasive proposal and interview materials, monitoring client and industry websites for solicitation status, and helping to file proposal and...

  • Scheduling Coordinator

    5 days ago

    Grand Junction, Colorado, United States HopeWest Full time

    About the RoleWe are seeking a highly skilled Scheduling Specialist to join our team at HopeWest. As a Scheduling Specialist, you will play a critical role in ensuring the smooth operation of our PACE program, providing comprehensive, coordinated, and proactive whole-person care to seniors in their homes.Key ResponsibilitiesCoordinate scheduling needs for...

  • Medical-Surgical Registered Nurse

    4 weeks ago

    Grand Junction, Colorado, United States Fusion Medical Staffing-Nursing Full time

    Job Title: Medical-Surgical Registered NurseFusion Medical Staffing-Nursing is seeking a skilled Medical-Surgical Registered Nurse for a travel nursing opportunity in Grand Junction, Colorado.Job Details:Specialty: Medical-SurgicalDiscipline: Registered NurseDuration: 14 weeksShift: 12 hours, daysEmployment Type: TravelFacility Information:Facility Type:...

  • Transportation Coordinator

    1 month ago

    Grand Junction, Colorado, United States MHC Kenworth Full time

    Job TitleTransportation CoordinatorJob SummaryMurphy-Hoffman Company, LLC, a leading Kenworth truck dealership group and leasing company, is seeking a skilled Transportation Coordinator to join our team. As a key member of our Parts Department, you will be responsible for driving company vehicles within assigned areas to pick up or transport parts as...

  • Radiology Imaging Coordinator

    4 weeks ago

    Grand Junction, Colorado, United States Community Hospital Full time

    Job SummaryWe are seeking a highly skilled Radiology Imaging Coordinator to join our team at Community Hospital. This is a full-time position that requires clinical knowledge and leadership experience.Key ResponsibilitiesCoordinate daily activities of the department, ensuring efficient scheduling and staff-to-patient ratios.Attend management meetings and...

  • In-Home Services Coordinator

    3 weeks ago

    Grand Junction, Colorado, United States SummitWest Care Full time

    Job SummaryWe are seeking a highly skilled and compassionate In-Home Services Intake Coordinator to join our team at SummitWest Care in Grand Junction, CO. As a key member of our care team, you will play a vital role in assessing client needs, building relationships, and coordinating care services.Key ResponsibilitiesAssess client needs and develop...

  • Activities Coordinator

    5 days ago

    Grand Junction, Colorado, United States Longevity Health Plan Full time

    About the RoleWe are seeking a highly motivated and compassionate individual to join our team as an Activities Director. In this role, you will have the opportunity to make a meaningful difference in the lives of our patients by providing engaging and interactive activities that promote their physical, emotional, and social well-being.Key...

  • Retail Data Coordinator

    4 weeks ago

    Grand Junction, Colorado, United States SAS Retail Services Full time

    SAS Retail Services is seeking a detail-oriented individual to join our Retail Data Collector team. As a Retail Data Coordinator, you will play a crucial role in ensuring the optimal sales opportunities for our retail partners and product suppliers. Your responsibilities will include interpreting plan-o-grams, creating visual masterpieces within grocery...

  • Retail Data Coordinator

    4 weeks ago

    Grand Junction, Colorado, United States SAS Retail Services Full time

    SAS Retail Services is seeking a detail-oriented individual to join our Retail Data Collector team. As a Retail Data Coordinator, you will play a crucial role in ensuring the optimal sales opportunities for our retail partners and product suppliers. Your responsibilities will include interpreting plan-o-grams, creating visual masterpieces within grocery...