Medical Authorizations Clerk

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

Medical Authorizations Clerk

Full-Time Alamosa, CO, US

8 days ago Requisition ID: 3067

Salary Range: $19.94 To $27.83 Hourly

The salary range displayed represents the typical salary of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

This position will remain open until 08/31/2026.

Are you well versed in medical terminology, CPT codes, patient registration, and insurance company requirements for prior authorizations ? Do you have strong attention-to-detail and communication skills? If you are adaptable, team-oriented and are able to work independently, we would love for you to apply for our Medical Authorizations Clerk position!

What You'll Need:

• High school graduate or GED equivalent.
• At least two years experience in an office setting.
• Previous insurance, registration and authorization experience preferred.

What You'll Do:

• Gather required medical information and time-frame for referrals, tests and/or procedures.
• Verify patient insurance and plan coverage pertinent to authorization information.
• Work closely with the Utilization Department to ensure that the insurance is receiving all necessary clinical information for ER/Inpatient/Observation stays and continuously follow-up on those authorizations so that all admission days are approved .
• Track authorizations/referrals through completion: requested, appointment scheduled, patient postponed or declined referral/test/procedure, and closing the loop in the medical record.
• Ensure accuracy of authorizations with regard to study and appropriate CPT Coding is documented in the record to ensure accurate scheduling.
• Respond timely in acquiring prior authorizations based on assigned work queue and documenting status of authorizations process in the Electronic Health Record.

We Take Care of Our People

As the largest employer in the San Luis Valley, we commit to providing our employees with quality and affordable benefits to complement a fulfilling work experience and help balance life experiences and needs. To show our appreciation of your hard work, we offer a competitive and comprehensive total benefits package, including:

• Full medical, dental and vision plans to suit the needs of you and your family, with low-cost copays and deductibles, all without high out-of-pocket expenses.
• Enjoy 21 days of Paid Time Off in your first year and a generous Sick Leave program, with accruals starting on your first day!
• Start savingwith Retirement plans available from day one, providing up to 5% employer match after one year of employment.
• Free life and disability insurance benefits for full-time employees with the opportunity to purchase additional coverage at low costs.
• Add to your benefit packagewith a variety of voluntary benefits such as identity theft protection, medical and dependent care flexible spending accounts and more.
• Take care of yourselfwith our free on-site 24-hour employee health center, and discounts to a selection of local fitness/recreational centers.
• Keep learningby utilizing our education program benefits to foster your growth and development.
• Give back to the communitywith multiple opportunities throughout the year to volunteer with our own non-profit SLV Health Foundation and other SLV- and community-sponsored events.
• Discounts on cell-phone plans, ski/snowboard lift tickets, Dell computers, local pools, Adams State University functions and more!
• Your family is our familyso our employees and their family members have access to our employee support services, including up to four free counseling sessions to assist with work/life solutions.