Referral & Authorization Specialist — Medical Office

AOO | ENT Specialists of the Rockies; Denver (CO); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) & Profit Sharing Plan

Paid Time Off

Job summary

AOO | ENT Specialists of the Rockies is seeking a Referral & Authorization Coordinator to manage referrals, scheduling, insurance prior authorizations, and surgical financial estimates. The role requires careful organization, strong communication, and the ability to work with multiple providers in a fast-paced medical office.

In this in-person Denver-based position, you will support seven physicians across several specialties, coordinating authorizations and patient finances while delivering

Qualifications

• Prior experience working in a medical office is required.
• Prior experience with insurance prior authorizations is required.
• Experience preparing surgical or procedure financial estimates is strongly preferred, but not required.
• Knowledge of medical insurance benefits, deductibles, coinsurance, copays, and prior authorization requirements.
• Experience working with Electronic Health Records (EHRs) is required.

Responsibilities

• Manage all incoming referrals from primary care physicians and other specialty practices.
• Review referrals and medical records for completeness and scheduling needs.
• Schedule appointments for seven physicians, three PAs, one NP, and five audiologists.
• Obtain and coordinate insurance prior authorizations for diagnostic testing, procedures, and surgical services.
• Verify insurance benefits and coverage requirements.
• Communicate with insurance companies about authorization requirements and benefits.
• Prepare and coordinate financial estimates for patients undergoing surgery.
• Communicate financial estimates and insurance information clearly to patients.
• Follow up on pending authorizations and submit required documentation promptly.
• Maintain accurate referral, authorization, and patient financial information in the EHR.
• Perform general clerical duties (faxing, scanning, data entry, scheduling).
• Provide excellent customer service to patients and referring providers.

Skills

Medical office experience

Insurance prior authorizations

Communication skills

Multitasking

EHR proficiency

Customer service

Scheduling

Detail oriented

Tools

EHR systems

Job description

AOO | ENT Specialists of the Rockies is seeking a Referral & Authorization Coordinator to manage referrals, scheduling, insurance prior authorizations, and surgical financial estimates. The role requires careful organization, strong communication, and the ability to work with multiple providers in a fast-paced medical office.

In this in-person Denver-based position, you will support seven physicians across several specialties, coordinating authorizations and patient finances while delivering