Authorization Specialist I, RCM

Team Select Services, LLC; Denver (CO); On-site; USD 24,796 - 28,929; Full time

Benefits offered by this job

Health insurance

Paid time off

Sick leave

401(k)

Referral program

Job summary

Team Select Home Care in Denver, CO is seeking an Authorization Specialist to handle all insurance authorization requests across locations. You will verify eligibility, track approvals, and input data into the EMR while coordinating with staff and payors to ensure accurate patient authorizations.

The role requires a high school diploma, excellent communication, strong organization, confidentiality, and the ability to manage multiple tasks under pressure. Pay range is $18–$21 per hour.

Qualifications

• Excellent verbal and written communication for interdepartmental interaction.
• Strong organizational and problem-solving abilities.
• Ability to adapt to change and meet deadlines.
• Maintain confidentiality of sensitive information.
• Interpret technical data and solve problems.
• Interact professionally with staff and clients.
• Communicate clearly and work cooperatively with teammates.

Responsibilities

• Check eligibility and benefits for patients, including monthly checks for non-Medicaid insurances.
• Obtain yearly details on eligibility, deductibles and out-of-pocket costs.
• Notify staff of patient responsibilities and obtain/verify consents as needed.
• Track and obtain all authorizations across locations and reauthorization.
• Enter authorization data into the EMR and verify payor setup.
• Maintain electronic records of all authorizations.
• Run reports daily, weekly and monthly for the department.
• Communicate with internal and external customers to ensure proper use of authorizations.
• Perform other duties as assigned.

Skills

Excellent verbal and written comms

Organization

Problem solving

Adaptability

Timely delivery

Professional interaction

Confidentiality

Data interpretation

Calm under stress

Education

High School Diploma or Equivalent

Job description

Authorization Specialist

The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM.

Duties/Responsibilities:

• Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required.


• At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs.


• Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents.


• Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care.


• Data entering all authorization information into the system.


• Verifying accuracy in payor setup in EMR for all active policies.


• Maintain electronic record of all authorizations.


• Run reports daily, weekly, and monthly for department.


• Communicate with both internal and external customers to ensure authorizations are utilized accurately.


• Performs other duties as assigned.

Required Skills/Abilities/Knowledge:

• Excellent verbal and written communication skills with ability to communicate across all levels of field-based leadership.


• Demonstrates high degree of organization and problem solving.


• Able to effectively deal with change.


• Able to complete projects and tasks within specific timetables.


• Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner.


• Requires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive information.


• Requires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situations.


• Requires the ability to interpret, adapt and react calmly under stressful conditions.


• Must be able to relate cooperatively and constructively with clients and co-workers.

Education/Experience/Licenses/Certifications:

High School Diploma or Equivalent

Benefits + Perks of Joining the Team

• Select Family Medical, Dental, and Vision Insurance


• Paid Time Off and Paid Sick Time


• 401(k)


• Referral Program

Pay Range: $18 - $21 / hour

Team Select Home Care reserves the right to change the above job description and qualifications without notice.

Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law.

Team Select Home Care is an employment-at-will employer.

Team Select Home Care is dedicated to transforming lives by providing compassionate, high-quality in-home care.

Founded in 2008, our mission is to change lives for the better.

We advocate for families in need, treat our patients like the heroes they are, and empower our team members to make a meaningful difference every day.

We specialize in long-term adult and pediatric private duty nursing, personal care services, and family caregiving programs, all with a personalized, patient-centered approach.

Our commitment to excellence is reflected in everything we do, from the way we care for our patients, to how we support our team.

We believe that our employees are the heart of our mission, and we’re dedicated to your growth and well-being.

At Team Select, you’ll find opportunities for continuous training, career advancement, and professional development.