2 Authorization Specialist Jobs in Denver, CO
Orthopedic Centers of Colorado is Hiring an Authorization Specialist Near Denver, CO
manager. Daily tasks will include obtaining authorizations for physical and occupational therapy and other ancillaries as necessary. This role will also actively interact with medical staff and patients.
Essential Functions
- Monitor Therapy EMR and navigate payer authorization sites efficiently to authorize scheduled procedures to include initial evaluations, returning visits, DME and other items needing authorization with insurance. Verify eligibility and benefits for all procedure codes.
- Pre-collect payment for therapy and other procedures as required by department
- Review Patient’s medical history and insurance coverage for approval, Document work processes as required
- Contact referring physicians for additional information as needed, coordinate processes and route all paperwork as required to meet physician and regulatory requirements
- Input new patient information and update information in our system
- Document in EHR prior authorizations information obtained such as a number of treatments authorized, length of time treatment is authorized, authorization numbers and insurance company contact information.
- Assist with clerical tasks as needed
- Must be able to recognize and respond appropriately to urgent /emergent situations.
- Follow all written protocols and procedures of the clinic including the OCC handbook and all department policy and procedures
- Demonstrate courtesy and helpfulness toward patients and / or their families.
- Ensure efficient telephone communication when required
- Work as a team member within the authorizations department and all other departments
- Medical terminology, ICD-10 and CPT coding knowledge
- Knowledge of contracted insurance plans and procedures
- Solid computer and phone skills
- Strong organizational and interpersonal skills
- Ability to prioritize responsibilities and multi-task efficiently and effectively
- Adaptability to different plan and lien requirements
- Possibility of local travel
- Constant viewing of computer monitor, mousing and typing
- Frequent standing, walking and sitting
- Frequent stooping, lifting, carrying and pushing/pulling 10 pounds or more
- Occasionally lift and/or move up to 50 pounds
- Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus
- Hours of business are Monday – Friday from 8:00 a.m. to 5:00 p.m. Must be able to work early, late and long hours, as needed, to meet the essential functions of the job
Job Summary
Full Time
$57k-70k (estimate)
06/04/2024
07/17/2024
orthocentersco.com
Denver, CO
<25
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The job skills required for Authorization Specialist include Prior Authorization, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization Specialist positions, which can be used as a reference in future career path planning. As an Authorization Specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization Specialist. You can explore the career advancement for an Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
01/29/2022: York, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.
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