Member Services Representative Pre-Authorization

Member Services Representative Pre-Authorization

FT, Days – Grand River Health | Rifle, CO

At Grand River, we are more than a hospital - we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect
, friendliness
, and a shared commitment to exceptional patient care
.

Grand River Health Main Campus is seeking a dedicated Member Services Representative Pre-Authorization to join our team in Rifle, CO. In this role, you will play a key part in ensuring a smooth and efficient patient experience by handling insurance verification. If you have strong attention to detail and excellent communication skills, this position offers a great opportunity to contribute to quality patient care while working in a supportive and dynamic healthcare environment.

• Obtain and verify necessary demographic and billing information, updating records accurately in the Meditech system.
• Verify insurance benefits, including precertification/authorization for inpatient/outpatient surgical patients, cardiopulmonary services, attended sleep studies, and all clinical outpatient MRI’s, CT’s, and similar diagnostics.
• Notify patients and guarantors to secure financial arrangements prior to services being provided.
• Cross-train with other members of the Patient Access team to assist with registration duties as needed.
• Perform a variety of tasks and other duties as assigned.

• Previous experience in patient registration, insurance verification, or pre-authorization preferred.
• Familiarity with Meditech or similar healthcare information systems is a plus.
• Strong organizational skills with keen attention to detail.
• Excellent communication and interpersonal skills to interact effectively with patients, guarantors, and healthcare staff.
• Ability to multitask and adapt to changing priorities in a fast-paced environment.

Our total rewards package includes

• Pay Range: $20.00 - $29.18/hour (based on experience)
• Shift Differentials:$2–$4/hour for nights and weekends
• Comprehensive Benefits:Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more
• Perks:Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more!

Compensation may vary outside this range depending on a number of factors, including a candidate’s qualifications, skills, competencies and experience.

Position is open until filled unless posted otherwise.

As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.

To improve the health and well-being of the communities we serve.

To be our communities’ first choice in quality healthcare.