PRN Prior Authorization Assistant

🔥 2 hours ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $28 - $32 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Mountain Family Health Centers

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1978

🏥 Healthcare

🤝 Non-profit

🌍 Social Impact

Healthcare • Non-profit • Social Impact

Mountain Family Health Centers is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC) based in Glenwood Springs, Colorado, that provides equitable, affordable whole-person care to its community. It operates multiple regional integrated health centers and school-based clinics offering primary medical care (including family, women's, internal medicine, and pediatrics), dental services, behavioral health (licensed therapists for mental health and substance use), pharmacy services (including on-site low-cost medications and participation in the 340B program), and telehealth. The organization emphasizes access, financial assistance, care coordination, community outreach, and addressing social determinants of health.

📋 Description

• Coordinate timely approval of high-cost brand-name medications for privately insured patients • Manage the administrative prior authorization process from benefit verification and documentation collection through submission, follow-up, denial resolution, and communication of outcomes • Educate providers and nursing staff on documentation and workflow practices that can expedite payer decisions • Provide coverage for medication refill Assistants during prolonged absences or turnover • Apply the organization’s medication refill guideline algorithm within the assistant's authorized scope

🎯 Requirements

• High school diploma or equivalent • At least one year of experience in a medical office, pharmacy, prior authorization, medication access, insurance verification, revenue cycle, or comparable healthcare support role • Current pharmacy technician certification or registration, if applicable to assigned duties and jurisdiction • Reliable high-speed internet connection • Professional work environment free from distractions • Availability during established business hours • Ability to attend virtual meetings as required • Must meet remote work requirements to qualify

🏖️ Benefits

• Medical, Dental and Vision Insurance • 403B retirement plan with 3% matching after 1 year of employment • 7 Paid Holidays • 124 PTO hours within the first year • Access to Employee Assistance Program • Worksite Wellness Program • Family-friendly scheduling • True work–life balance • Occasional travel for training, team meetings, or organizational events

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