Authorization Specialist Full-Time

Job description

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*** KEY 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 REQUIRED QUALIFICATIONS: - Minimum 2-3 years of medical office or hospital experience (authoriz...