Authorization Specialist: Patient Access & Care

Orthopedic-Centers-of-Colorad; Colorado; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Generous PTO

Life insurance

Disability insurance

Training & development

Retirement plan

Job summary

Orthopedic Centers of Colorado is seeking an Authorization Specialist to support Clinical, Imaging, and Physical Therapy departments. You will verify insurance, obtain authorizations for various procedures, and pre-collect for upcoming services while actively interacting with medical staff and patients.

Responsibilities include verifying eligibility, auditing authorizations, documenting in PM/EMR systems, and educating staff on authorization processes.

Qualifications

• Medical terminology, ICD-10 and CPT coding knowledge.
• Knowledge of contracted insurance plans and procedures.
• Solid computer and phone skills.
• Strong organizational and interpersonal skills.

Responsibilities

• Authorize scheduled procedures including surgeries, injections, imaging, and other items needing authorization.
• Verify eligibility and benefits for all patients and codes; pre-collect payments as required.
• Ensure compliance with benefits and funding requirements and document accuracy in EMR/PM systems.
• Educate staff on authorization obligations and manage authorization queue daily.
• Document authorizations in the EMR and update patient tracking as needed.
• Respond to urgent situations and follow clinic protocols.

Skills

Medical terminology

ICD-10 coding

CPT coding

Insurance knowledge

Organization

Interpersonal skills

Job description

Orthopedic Centers of Colorado is seeking an Authorization Specialist to support Clinical, Imaging, and Physical Therapy departments. You will verify insurance, obtain authorizations for various procedures, and pre-collect for upcoming services while actively interacting with medical staff and patients.

Responsibilities include verifying eligibility, auditing authorizations, documenting in PM/EMR systems, and educating staff on authorization processes.