Pre-Authorization Specialist
Care with Heart. Work with Purpose. Join Home Health of Western Colorado as a Pre-Authorization Specialist in beautiful Montrose, CO. This is more than a job! It’s a paid opportunity to serve others, live our mission, and make a meaningful impact in a healthcare setting. As a compassionate organization, we’re dedicated to serving others and fostering an environment where both our residents and team members thrive.
About Us
The Home Health of Western Colorado is a Medicare/Medicaid-certified home health care agency in Montrose, CO. We include an experienced team of nurses, rehab therapists, and home health aides dedicated to providing individualized health care needs with compassion and empathy. We are trained in caring for older adults, providing in-home health care services in the Delta, Montrose, and Ouray counties. At VOANS, we celebrate sharing, encouraging, and embracing diversity.
Why You’ll Love It Here
- Supportive, caring leadership that truly values your voice
- A positive, team-oriented environment where you can rely on one another
- A beautiful, welcoming campus you’ll enjoy coming to each day
- Opportunities for career growth and ongoing development
- Purpose-driven work that makes a meaningful difference every day
Responsibilities
- Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirements.
- Coordinate with insurance entities for effective communication and benefit determination.
- Ensure timely and accurate insurance authorizations.
- Request, obtain, and verify authorizations for home health services from PARS insurance companies and managed care organizations.
- Ensure all required documentation is submitted accurately and on time.
- Track PARS and Authorizations and follow up promptly on pending or expiring authorizations.
- Communicate authorization updates to clinical staff, schedulers, and billing personnel.
- Review payer guidelines and stay updated on any changes related to coverage or authorization requirements.
- Perform other duties as assigned.
Requirements
- 1-2 years of relevant experience in medical billing and/or prior authorization within a health care practice.
- High School Diploma required.
- Bachelor’s degree in business, informatics, or a clinical profession preferred; four (4) years of relevant experience can be substituted for bachelor’s degree.
- Experience with an Electronic Medical Record (EMR).
Benefits
- Medical, Dental & Vision Insurance
- 403(b) with discretionary contribution
- Paid Time Off + Personal Days
- Life Insurance & Short-Term Disability
- Employee Assistance Program
- Wellness incentives (earn up to $350)
- Get paid early (access up to 50% of earnings)
- Referral bonuses & scholarship opportunities
Pay
$22 - $25 per hour based on experience.
Schedule
Full-time, Monday - Friday, 8-hour shifts.