Prior Authorization Specialist - Prior Authorization - Full time

Aspen Valley Hospital; United States; On-site; USD 33,000 - 53,000; Full time

Benefits offered by this job

Tuition assistance

Health insurance

PTO 22 days

Housing assistance

Ski pass discounts

Retirement plans

Job summary

Aspen Valley Health is hiring a full-time Prior Authorization Specialist in the Prior Authorization department. The role involves coordinating the authorization process from provider to payer and patient, ensuring timely coverage and minimizing treatment interruptions.

Preference given to candidates with healthcare experience, EPIC proficiency, and Spanish language skills. We welcome equivalent combinations of experience and education and encourage applications from diverse backgrounds.

Qualifications

• Preferred qualifications: Previous experience in a healthcare setting.
• Experience with EPIC preferred.
• Bilingual in Spanish preferred.
• We will consider equivalent combinations of experience and education for certain jobs.
• If you don't meet the job requirements as listed, but you believe you possess equivalent experience or education, you are encouraged to apply.

Responsibilities

• Facilitate the authorization process from provider through payer to patient.
• Secure payer authorization for medical services.
• Minimize interruptions to ongoing treatments due to payer coverage restrictions or denials.
• Advise the provider and patient of any authorization delay or denial.

Skills

Bilingual in Spanish

Healthcare experience

EPIC experience

Tools

EPIC

Job description

We are currently hiring for a full time Prior Authorization Specialist within the Prior Authorization department here at Aspen Valley Health. Work Shift: Days - 8 Hour Compensation Range: $24.25 - $38.81 The compensation range listed is an estimate. Final compensation will be determined based on your qualifications including years of experience performing similar work, level of formal education in a relevant field of study, and any professional certifications related to the position.

Requirements

• Preferred Qualifications: Previous experience working in a healthcare setting preferred.
• Experience with EPIC preferred.
• Bilingual in Spanish preferred.
• We will consider equivalent combinations of experience and education for certain jobs.
• If you don't meet the job requirements as listed, but you believe you possess equivalent experience or education, you are encouraged to apply.

Position Overview

The Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as they secure payer authorization for medical services and optimize patient health outcomes by minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials. The Prior Authorization Specialist minimizes the patient's financial risk with a thorough review of the health plan benefits and coverage restrictions, proactively advising the provider and patient of any authorization delay or denial.

What to Love

“I love the people, the sense of family and community on this team and in a broader sense across the hospital as a whole. I have worked for a HUGE corporation, and this is so much better!! It’s like CHEERS, where everybody knows your name.” - Stacy

“I love the flexibility that this job gives me, and the people I get to connect with and learn from. The job is challenging and ever-changing, which helps keep my brain sharp! AVH has been a great company to work for over the last 8 years, and it shows in how employees are valued and cared for.” - Melissa

“The team members are incredibly dedicated to the delivery of care for our patients, to helping our staff feel valued and supported, and to the fiscal health of the hospital. They also genuinely care about each other, are able to laugh at themselves, and tease each other because there is a basis of trust and mutual support. I have laughed so hard at meetings that I have actually cried.” - Diana

It's no surprise that our retention rate is BETTER than 90% of all other hospitals in the country!

What We Offer

• Continuing education, professional development, and tuition assistance.
• Healthcare as low as $46 per month, plus an additional 50% off of all AVH services for you AND your family!
• All preventative services covered at 100%, zero copay.
• Virtual and robust mental health resources available.
• Earn up to 22 days PTO within your first year. Rollover what you don’t use.
• Bereavement Leave that covers miscarriages, extended family, and pets.
• Robust Paid Medical and Family Leave.
• Weeks 1-6 are paid at 100% for parental or personal illness/injury.
• You will be automatically enrolled into the 457b plan at 6% to kick start your retirement savings.
• In addition, AVH matches 50% of your 457b contributions up to a max of 3% of earnings each pay period into our 401a plan.
• In lieu of Social Security, AVH contributes 7.5% of your annual salary each year to the Cash Balance Pension Plan. This means you are no longer paying social security taxes out of your paycheck! (Your take home will be much higher!)
• Housing assistance - We provide resources to establish roots in the Roaring Fork Valley.
• Employee referral bonuses.
• Discounted ski passes!
• Transportation discounts and carpool incentives.

Environment and Culture

Aspen Valley Health is a twenty-five-bed community hospital that represents the best of two worlds — the warmth and friendliness of a small town and the technical expertise of a major medical center.

At Aspen Valley Health (AVH), you’ll join a team committed to making a meaningful difference—every day. As one of the top 100 critical access hospitals, we offer more than just a job: we offer the chance to grow your career while serving your community. Our mission and core values foster nationally recognized patient care and exceptional career opportunities. With competitive pay, comprehensive benefits, and a strong culture of support, AVH is where purpose and opportunity meet.

This application will close once a qualified candidate is successfully hired.