Insurance Pre-Authorization Specialist

Delta Health is seeking a detail-oriented Insurance Pre-Authorization Specialist to manage insurance verifications and obtain pre-certifications prior to scheduling services. This role is essential in preventing claim denials and ensuring a smooth patient experience.

Key Responsibilities:

• Verify commercial, Medicare, and Medicaid insurance coverage

• Obtain required pre-authorizations from primary, secondary, and tertiary payers

• Review patient orders and ensure medical necessity requirements are met

• Communicate with insurance companies, patients, and referring offices

• Accurately document authorization details in Meditech or Athena

• Assist with resolving denied claims

Qualifications:

• Experience with insurance verification and prior authorizations

• Strong attention to detail and accuracy

• Excellent communication and teamwork skills

• Ability to work independently in a fast-paced environment

Why Join Delta Health?

Comprehensive Benefits Package 

• Medical, RX, Dental & Vision – Low premiums with 100% coverage on services provided within the Delta Health system, and no deductibles or co-pays. Includes access to massage therapy, acupuncture, and chiropractic care.
• Life & Disability Insurance – Employer-paid coverage for your peace of mind.
• Time Off – Over 4 weeks of paid vacation annually (including sick and personal leave) for full-time staff.
• Retirement – 403(b) plan with up to a 2% employer match.

Work-Life Balance in a Stunning Location

Located on the Western Slope of the Rocky Mountains, Delta offers an unmatched combination of small-town charm, affordability, and natural beauty. Enjoy year-round outdoor activities such as hiking, skiing, mountain biking, fishing, and exploring the Grand Mesa and surrounding public lands. Whether you're raising a family or looking for work-life balance, Delta provides a safe, friendly community with a slower pace and a high quality of life. Delta is surrounded by the Grand Mesa, Uncompahgre Plateau, and nearby wineries, offering a unique blend of adventure and relaxation. 

Delta Health is a county-wide healthcare system with more than 100 years of dedication to serving our community. Our 49-bed hospital and outpatient locations across Delta County are committed providing remarkable care in a healing environment. We operate with the core belief: Excellence. Every Patient. Every Time.