Authorization Specialist Full-Time

Authorization Specialist Full-Time

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 (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)
• We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas.

What we are looking for:

• Individuals who 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

Screening requirement:

Candidates may be required to complete a brief authorization scenario assessment as part of the interview process.

Salary:

• Entry salary dependent upon education, skill set, and experience.
• Position wage range: $20.00 - $28.87/hour

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 employees
• Free use of Sunlight and Aspen SkiCo day passes, based on availability.

Apply today to join a team focused on accountability, efficiency, and high performance!