Authorization Specialist Full-Time
About The Position
Western Colorado’s premier healthcare facility, Valley View Hospital, is seeking an experienced Authorization Specialist to join our Patient Access Department in Silt, CO. This is a HIGH-LEVEL, NON-ENTRY LEVEL POSITION, requiring strong analytical thinking, problem-solving ability, and prior experience in a medical office or hospital setting. This role is critical to ensuring accurate and timely prior authorizations, reducing denials, and supporting overall revenue cycle performance across multiple specialties. This is not an entry-level position. Candidates without relevant healthcare or authorization experience will not be considered.
Requirements
- Minimum 2-3 years of medical office or hospital experience (authorization, billing, scheduling, or patient access)
- Experience handling prior authorizations across multiple payers
- Strong understanding of: Eligibility vs. benefits vs. authorization requirements
- Demonstrated analytical and problem-solving skills
- Highly organized with the ability to prioritize effectively
- Self-starter with the ability to work independently
- Experience with Epic preferred
- Bilingual (preferred)
- Eligible to work in the United States. (Visa sponsorship not available)
Nice To Haves
- Think critically and do not rely on step-by-step direction
- Can connect clinical services to payer requirements
- Take ownership and follow through to resolution
- Are proactive, detail-oriented, and solution-driven
Responsibilities
- Obtain and manage prior authorizations for outpatient and inpatient services
- Interpret insurance eligibility, benefits, and medical necessity requirements
- Navigate payer portals and clinical guidelines
- Proactively identify and resolve authorization issues
- Collaborate with scheduling, clinical departments, and case management
- Maintain accurate documentation within the EHR
- Manage high-volume, time-sensitive workflows
Benefits
- Medical, Dental and Vision coverage including coverage for eligible dependents
- Employer paid basic life coverage with buy-up coverage options
- Flexible Spending Account (FSA) for health care and dependent care.
- Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA), leaves of absence.
- Tuition Assistance Available
- Retirement Plan 401(a)
- Retirement Plan 403(b) plans with employer matching contributions.
- Employee Assistance Program
- Employee discount on Valley View Medical Services
- Employee voluntary benefits such as Discounted RFTA bus passes, discounted gym memberships, Corporate Ski passes, free car seat for new Valley View babies born or adopted by Valley View employee(s)
- Free Use of Sunlight and Aspen SkiCo day passes, based on availability.
- Relocation and other financial assistance may apply
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
