Medical Authorization Specialist

San Luis Valley Health; Alamosa, Northern (CO, KY); Hybrid; USD 27,000 - 38,000; Full time

Benefits offered by this job

Full medical, dental and vision plans

21 days paid time off

Retirement plans with employer match

Life and disability insurance

Education program benefits

On-site health center

Volunteer opportunities

Discounts on various services

Job summary

San Luis Valley Health in Alamosa, CO is seeking a Medical Authorizations Clerk to manage referrals, verify insurance, and coordinate authorizations with the Utilization Department. You will track cases from referral to completion, ensuring CPT coding accuracy and timely updates in the EHR.

The role requires a high school diploma or GED, at least two years in an office setting, and preferred experience with insurance, registration and authorizations.

Qualifications

• High school diploma or GED required.
• At least two years of office experience preferred.
• Insurance, registration and authorization experience preferred.

Responsibilities

• Gather required medical information and time-frames for referrals, tests or procedures.
• Verify patient insurance and plan coverage pertinent to authorization information.
• Collaborate with Utilization Department to ensure necessary clinical info is received for ER/Inpatient/Observation stays and follow authorization progress.
• Track authorizations through completion and close the loop in the medical record.
• Ensure accuracy of authorizations with CPT coding documented for scheduling.
• Respond promptly to obtain prior authorizations and document status in the EHR.

Skills

Medical terminology

CPT codes

Patient registration

Insurance processes

Attention to detail

Communication skills

Education

High school diploma or GED

Job description

San Luis Valley Health in Alamosa, CO is seeking a Medical Authorizations Clerk to manage referrals, verify insurance, and coordinate authorizations with the Utilization Department. You will track cases from referral to completion, ensuring CPT coding accuracy and timely updates in the EHR.

The role requires a high school diploma or GED, at least two years in an office setting, and preferred experience with insurance, registration and authorizations.