Manager Prior Authorization Jobs in Colorado (NOW HIRING)

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. If you’re ready to grow your career while making a difference, we’d love to connect with you.

The Home Health of Western Colorado is a community of Volunteers of America National Services, a subsidiary of the Volunteers of America parent organization.  Proudly Great Place to Work® Certified for 8 consecutive years.

Pay Range: $22 - $25 per hour based on experience. 

Schedule: Fulltime, Monday - Friday, 8-hour shifts.

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

What We Offer

• 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

What You Bring (Requirements)

• 1-2 years of relevant experience in medical bill 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).

What You’ll Be Responsible For

The Pre-Authorization Specialist plays a vital role in ensuring the efficiency and accuracy of our billing process. Specialist will be responsible for the completion of the required authorization process by obtaining and verifying insurance coverage.

• Streamline pre-certification, authorization and referral processes, ensuring compliance with insurance requirements.
• Coordinates with insurance entities for effective communication and benefit determination.
• Ensures 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.
• Tracks PARS and Authorizations and follows up promptly on pending or expiring authorizations.
• Communicates authorization updates to clinical staff, schedulers, and billing personnel.
• Reviews payer guidelines and stays updated on any changes related to coverage or authorization requirements.
• Performs other duties as assigned.

About Us
The Home Health of Western Colorado is a Medicare/Medicaid-certified home health care agency in Montrose, CO which include 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 and Montrose, CO.   

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.