Referral & Prior Authorization Specialist (Medical Office)

AOO | ENT Specialists of the Rockies; Denver (CO); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life Insurance

401(k) & Profit Sharing Plan

Paid Time Off

Job summary

AOO | ENT Specialists of the Rockies in Denver, CO is seeking an experienced Referral & Prior Authorization Coordinator to manage referrals, coordinate insurance authorizations, schedule seven physicians and support staff, and prepare surgical financial estimates.

The ideal candidate will be highly organized, detail‑oriented, and capable of handling high volumes while delivering excellent service to patients, referring providers, and insurers. In‑person role with competitive benefits.

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

• Managing all incoming referrals from primary care physicians and other specialty practices.
• Reviewing referrals and medical records for completeness and ensuring patients are scheduled appropriately.
• Scheduling appointments for seven physicians, three physician assistants, one nurse practitioner, and five audiologists.
• Obtaining and coordinating insurance prior authorizations for diagnostic testing, procedures, and surgical services.
• Verifying insurance benefits and coverage requirements as needed.
• Communicating with insurance companies regarding authorization requirements, benefits, and coverage.
• Preparing and coordinating financial estimates for patients undergoing surgery, including reviewing insurance benefits, deductibles, coinsurance, and estimated patient responsibility.
• Communicating financial estimates and insurance information clearly and professionally to patients.
• Maintaining accurate referral, authorization, and patient financial information in the electronic health record.
• Performing general clerical duties including faxing, scanning, printing, data entry, and scheduling.
• Providing excellent customer service to patients and referring providers.
• Other administrative duties as assigned

Skills

Phone etiquette

Communication skills

Organizational skills

Multitasking

Attention to detail

Customer service

Team player

Tools

Electronic Health Records (EHRs)

Job description

AOO | ENT Specialists of the Rockies in Denver, CO is seeking an experienced Referral & Prior Authorization Coordinator to manage referrals, coordinate insurance authorizations, schedule seven physicians and support staff, and prepare surgical financial estimates.

The ideal candidate will be highly organized, detail‑oriented, and capable of handling high volumes while delivering excellent service to patients, referring providers, and insurers. In‑person role with competitive benefits.