Pre-Authorization Specialist — Care Access & Billing

CommonSpirit Health; Colorado Springs (CO); On-site; USD 28,000 - 43,000; Full time

Job summary

CommonSpirit Health in Colorado Springs seeks a detail‑oriented Pre-Authorization Representative to verify insurance coverage and obtain all required authorizations for procedures and visits. You will use scheduling data to confirm benefits, secure approvals from carriers, document outcomes in hospital systems, and coordinate with patients, physicians and billing staff.

The role requires strong organization, meticulous verification of coverage, effective communication, and solid knowledge of

Qualifications

• Verifies patient benefits and eligibility using multiple tools.
• Obtains all necessary authorizations and pre-certifications.
• Audits CPT codes for cost estimates and self-pay screening.
• Keeps hospital systems updated with approvals and linked accounts.

Responsibilities

• Verifies eligibility for all patient types using electronic/phone tools.
• Initiates and documents preauthorizations in the Clinical Information System.
• Compiles CPT codes to assist financial counselors with estimates.
• Acts as a liaison between patients, physicians, and billing staff.
• Keeps current knowledge of insurance regulations through training.

Skills

Eligibility verification

Clear communication

Attention to detail

Team collaboration

Outpatient experience

Education

High School Diploma/G.E.D.

Job description

CommonSpirit Health in Colorado Springs seeks a detail‑oriented Pre-Authorization Representative to verify insurance coverage and obtain all required authorizations for procedures and visits. You will use scheduling data to confirm benefits, secure approvals from carriers, document outcomes in hospital systems, and coordinate with patients, physicians and billing staff.

The role requires strong organization, meticulous verification of coverage, effective communication, and solid knowledge of