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Orthopedic Centers of Colorado
Denver, CO | Full Time
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Orthopedic Centers of Colorado
Denver, CO | Full Time
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Together Women's Health
Denver, CO | Full Time
$56k-69k (estimate)
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Together Women's Health
Denver, CO | Full Time
$56k-69k (estimate)
2 Days Ago
Authorization Specialist
$56k-69k (estimate)
Full Time 2 Days Ago
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Together Women's Health is Hiring an Authorization Specialist Near Denver, CO

Overview

The Women's Imaging Center, a proud partner of Together Women's Health, is expanding its medical team and seeking a dynamic full-time Authorization Specialist. Located in the heart of Cherry Creek/Denver, our state-of-the-art facility at 3773 Cherry Creek North Dr, Suite 101, Denver, CO 80209 is dedicated to providing exceptional care to our patients. Position Overview Are you ready to step into a role where you'll make a meaningful impact every day? As an Authorization Specialist, you'll play a pivotal role in our practice, collaborating closely with our medical team and patients. Your primary responsibilities will include obtaining authorizations for procedures, surgeries, medications, and imaging studies, ensuring seamless coordination and communication between all stakeholders.

Responsibilities

 
  • Obtain authorizations for breast and body MRIs adhering to insurance requirements.
  • Verify eligibility and benefits for all procedure codes, ensuring accurate documentation.
  • Document work processes meticulously and coordinates paperwork efficiently.
  • Respond promptly to urgent/emergent situations with professionalism and compassion.
  • Demonstrate exceptional customer service towards patients and their families.
  • Ensure efficient telephone communication and collaborate effectively within the authorizations department and across other departments.
  • Scheduling and rescheduling patients.
  • Being the main advocate for our patients when speaking directly with insurance companies on the phone as needed. 
  • Collaborate with healthcare providers to obtain prior authorizations for medical procedures, treatments, and services.
  • Review insurance requirements and guidelines to ensure accurate and timely submission of authorization requests.
  • Verify patient eligibility and benefits coverage for prescribed treatments and services.
  • Communicate effectively with insurance companies, healthcare providers, and patients to facilitate the authorization process and resolve any issues or discrepancies.
  • Maintain thorough documentation of authorization requests, approvals, and denials.
  • Monitor authorization status and follow up as needed to expedite approvals and minimize delays in patient care.
  • Stay informed about changes in insurance policies, procedures, and regulations related to prior authorizations.
  • Perform other related duties as assigned.

Qualifications

 
    • Minimum 2 years of experience as an Authorization Specialist preferred.
    • Proficiency in radiology medical terminology - breast and body MRI, ICD-10, and CPT coding.
    • Familiarity with contracted insurance plans and procedures.
    • Strong computer and phone skills.
    • Excellent organizational and interpersonal skills.
    • Ability to prioritize tasks and multitask effectively.
    • Must be organized
    • Must be able to work well under stressful conditions.
    • Must have excellent patient/customer care skills. 
Physical Requirements 
  • Ability to lift 2 to 20 pounds unassisted.
  • Regular sitting, standing, stooping, walking, stretching, and reaching.
  • Prolonged periods of desk work and computer usage.
 What We Offer The pay range for this role is $19-23/hr. Compensation is based on experience. As a full-time employee, you'll have access to a comprehensive benefits package, including:- Health Care Plan (medical, dental & vision)- Retirement Plan with company match- Life Insurance- Paid Time Off- Short-Term and Long-Term Disability coverage Why Choose Together Women’s Health (TWH)? At Together Women's Health, we're more than just a network of OBGYN and Radiology practices—we're a community dedicated to improving the lives of our healthcare partners and patients. With a commitment to our core values and a focus on fostering talent and growth, we offer a supportive environment where careers flourish. Together Women’s Health (TWH) is an equal opportunity employer. We celebrate diversity and are dedicated to creating an inclusive workplace for all employees. Reasonable Accommodations Applicants with disabilities may be entitled to reasonable accommodations under the Americans with Disabilities Act and applicable state or local laws. If you require accommodations to perform the essential functions of the position, please reach out to HR@togetherwomenshealth.com, providing details of your request and contact information. Ready to join our team and make a difference? Apply today!

Job Summary

JOB TYPE

Full Time

SALARY

$56k-69k (estimate)

POST DATE

06/27/2024

EXPIRATION DATE

06/25/2025

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The job skills required for Authorization Specialist include Customer Service, Scheduling, Communicates Effectively, Prior Authorization, Coordination, 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.

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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.

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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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