Insurance Authorization Specialist: Clinical Support

Orthopedic Centers of Colorado; Denver (CO); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Generous PTO package and paid holidays

Company-paid life insurance and long‑/

Disability insurance

Internal training and development

Profit sharing eligibility

Weekday schedule (Mon–Fri)

Job summary

Orthopedic Centers of Colorado is seeking an Authorization Specialist to support the Clinical, Imaging, and Physical Therapy departments. You will verify patient insurance, obtain necessary authorizations for procedures, surgeries, injections, imaging, and office visits, and pre-collect payments where required.

This role involves daily interaction with medical staff and patients, ensuring compliance with benefits and billing policies, maintaining accurate documentation in the Practice Management

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.
• Ability to prioritize responsibilities and multi-task efficiently and effectively.
• Adaptability to different plan and lien requirements.

Responsibilities

• Authorize scheduled procedures to include surgeries, injections, medications, physical and occupational therapy, imaging and other items needing authorization with insurance.
• Verify eligibility and benefits for all patients and procedure codes, pre-collect payment for surgeries and other procedures as required by the department
• Ensure compliance with benefits, authorizations, and/or funding requirements and limitations.
• Confirm that all information documented in the Practice Management System is accurate.
• Document work processes as required.
• Educate staff members on authorization obligations and accountability to internal processes in a timely manner.
• Manage authorization queue, workbook, or schedule by auditing daily changes and having clear documentation.
• Setup Patient tracking via tasking within the patient Electronic Medical Records System.
• Innovation of processes to facilitate the most efficient workflow.
• Document in Electronic Health Records System prior authorizations information obtained.
• Treatment authorized, date range approved for, authorization numbers and insurance company contact information.
• Must be able to recognize and respond appropriately to urgent situations.
• Follow all written protocols and procedures of the clinic including the OCC handbook, all department policy and procedures.
• Provide timely, high quality patient service and submission of authorizations, from all areas of responsibility by being courteous and helpful to all.
• Perform other duties assigned by OCC leadership.

Skills

ICD-10/CPT coding

Insurance plan knowledge

Computer skills

Interpersonal skills

Multi-tasking

Plan requirements adaptability

Tools

Practice Management System

Job description

Orthopedic Centers of Colorado is seeking an Authorization Specialist to support the Clinical, Imaging, and Physical Therapy departments. You will verify patient insurance, obtain necessary authorizations for procedures, surgeries, injections, imaging, and office visits, and pre-collect payments where required.

This role involves daily interaction with medical staff and patients, ensuring compliance with benefits and billing policies, maintaining accurate documentation in the Practice Management