Non-Clinical Authorizing Specialist
4 days ago
Location: Denver, CO
Full-Time, Monday
Here's Why Our Team Likes Working with Us:
- Benefits eligible at 30+ hours per week.
- Medical, dental, vision, and 401K
- Supplemental insurance available
- Matching 401k
- Paid Time Off (PTO)
Position Summary
On behalf of CNS Cares ("CNS" or "Company"), the Non-Clinical Authorizing Specialist will ensure the request, follow-up and submission of patient records and authorizations. The Non-Clinical Authorization Specialist will also track approvals and follow up with DOL processing delays. The Non-Clinical Authorizing Specialist will prepare documentation, reporting, and assist management as needed.
Essential Functions
Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company and be completely honest. Other assigned duties include, but not limited to:
- Collaborates with the patient, State Administrators, and other clinical staff to coordinate authorization requests and follow-up for initial start of care (or switchover) patients.
- Responsible for timely submission of start of care patients to DOL.
- Ensures accurate tracking through maintenance of spreadsheets and databases.
- Enters authorizations into the EMR to ensure accurate scheduling and billing.
- Maintain and adjust care periods to reflect any changes made by the DOL to authorizations.
- Tracks continuation of care information into the EMR to ensure no interruption in scheduling.
- Monitors the DOL Portal for any approved patient's submissions and communicates approvals between team members.
- Assists with all VA patients: SOC, Renewal, VA Requests, and Issues.
- Provides assistance to the Authorization Team as needed.
- Collects and communicates pertinent, timely information to payers to ensure reauthorization of patient's home health care services.
- Actively involved in the process improvement activities to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
- Participates in assigned quality assurance committee(s) and interdepartmental projects when needed or requested.
- Provides accurate and complete documentation with rationale to ensure reauthorization of patients.
- Other duties as assigned.
Related Competencies
Language Skills:
Must be able to read, analyze, and interpret general business practices, policies and procedures. Must be able to write business correspondence. Must be able to effectively respond to questions from groups of managers, clients, customers, and the public.
Decision Making:
Identify and understand issues, problems, and opportunities; possess ability to analyze data from different sources to draw conclusions; utilize effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
Business Acumen:
Through the use of related law and industry data, proactively identify Company risks and institute policies and/or procedures to ensure compliance.
Education/Training
• Associate degree or equivalent combination of education and experience.
• Experience and knowledge of Department of Labor, and other payor sources, and in-home healthcare preferred.
Clearances
The following background checks are conducted:
- Criminal background
- Driving Record
- OIG Exclusion List
- Sex Offender Registry
#TFIND
-
Infusion Authorization Specialist
4 weeks ago
Englewood, United States Veros Health Full time*Benefits*Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements.Pulled from the full job description* 401(k)* 401(k) matching* Dental insurance* Disability insurance* Employee assistance program* Flexible spending account* Health insurance*Full job description*Veros...
-
Healthcare Authorization Coordinator
3 days ago
Englewood, Colorado, United States Critical Nurse Staffing, LLC Full time**About the Role**The Non-Clinical Authorizing Specialist will be responsible for ensuring timely submission of patient records and authorizations, as well as tracking approvals and following up with DOL processing delays.This role involves preparing documentation, reporting, and assisting management as needed. The successful candidate will have excellent...
-
Clinical Coordination Specialist
3 days ago
Englewood, Colorado, United States Critical Nurse Staffing, LLC Full timeJob OverviewCritical Nurse Staffing, LLC is seeking a skilled Clinical Coordination Specialist to collaborate with patients, State Administrators, and clinical staff to coordinate authorization requests and follow-up for initial start of care patients.ResponsibilitiesCollaborate with the patient, State Administrators, and other clinical staff to coordinate...
-
Prior Authorization Supervisor
6 days ago
Englewood, United States Amerita Full timeOur CompanyAmerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare...
-
Clinical Respiratory Care Specialist
2 weeks ago
Englewood, Ohio, United States Rotech Healthcare Full timeAbout Rotech Healthcare Inc.OverviewRotech Healthcare Inc. is a national leader in providing high-quality medical products and services to patients across the country. With hundreds of locations across 45 states, we strive to empower patients to manage their health and treatment at home, leading a more comfortable and productive life.Salary InformationThe...
-
Oncology Clinical Coordinator Specialist
3 weeks ago
Englewood, New Jersey, United States Mitchell Martin Full timeAbout the RoleThe Mitchell Martin organization is seeking a highly skilled Oncology Clinical Coordinator Specialist to join our team. This permanent, full-time position is located in New Jersey and offers an exciting opportunity for a dedicated professional to make a meaningful impact in cancer care.Job SummaryWe are looking for a seasoned Advanced Practice...
-
Non-QM Mortgage Specialist
2 weeks ago
Englewood, Colorado, United States Redwood Trust Inc Full timeJob SummaryThe position requires a seasoned professional with experience in non-QM mortgage processing, possessing strong analytical skills and excellent communication abilities.This role is ideal for those who have a deep understanding of mortgage products and data, with the ability to convey complex information clearly and concisely.The successful...
-
Clinical Care Specialist
4 weeks ago
Englewood, Florida, United States Millennium Physician Group Full timeJob Description: We are seeking a highly skilled Clinical Care Specialist to join our team at Millennium Physician Group. This role will support the mission and vision of our Value-Based Pharmacy team by providing exceptional patient care and ensuring seamless transitions between healthcare providers. Key Responsibilities: - Provide personalized care...
-
Clinical Intraoperative Specialist
2 weeks ago
Englewood, Colorado, United States Assure Holdings Corp Full timeJob DescriptionAssure Holdings Corp. is a reputable provider of outsourced intraoperative neuromonitoring and remote neurology services. As a Clinical Intraoperative Specialist, you will be responsible for delivering high-quality intraoperative neuromonitoring services that meet the highest standards of clinical care. Your primary goal will be to ensure the...
-
Clinical Therapist
4 weeks ago
Englewood, Colorado, United States Soar Autism Center Full timeAbout the RoleWe are seeking a highly skilled Clinical Therapist to join our interdisciplinary team as an ABA Specialist. In this role, you will be responsible for providing personalized, naturalistic ABA therapy for children aged 2-6 in a center-based environment.Key Responsibilities:Develop and implement individualized treatment plans tailored to each...
-
Clinical Support Specialist
3 days ago
Englewood, New Jersey, United States Englewood Health Full timeAbout This Role: We are seeking a skilled Clinical Support Specialist to assist with front office and back office patient care duties at Englewood Health. In this position, you will play a vital role in ensuring the smooth flow of patients from the waiting area to exam rooms.Key Responsibilities:Assist with the preparation and processing of patients for...
-
Clinical Nurse Specialist Float Pool
24 hours ago
Englewood, United States HCA HealthONE Swedish Full timeAbout HCA HealthONE SwedishHCA HealthONE Swedish, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver-metro area. Our mission is to provide quality patient care and improve health outcomes.Job SummaryThe Clinical Nurse Specialist (CNS) demonstrates advanced knowledge,...
-
Physiotherapist Clinical Specialist
4 weeks ago
Englewood, New Jersey, United States JAG Physical Therapy Full timeAbout UsJAG Physical Therapy is a leading provider of outpatient physical therapy services, with over 100 facilities across Pennsylvania, New Jersey, and New York. We are committed to delivering exceptional care and outcomes to our patients.Our team of skilled professionals is dedicated to helping patients achieve their goals and regain functional...
-
Clinical Care Specialist
2 weeks ago
Englewood, New Jersey, United States Englewood Health Full timeJob Description:This is an incredible opportunity for a skilled Nurse Practitioner to demonstrate expertise in all levels of patient care, including excellent clinical care, precise documentation, and strong patient engagement. The role involves providing direct patient care, assessing, diagnosing, planning health promotion, and preventive care within this...
-
Clinical Nurse Specialist
3 weeks ago
Englewood, Colorado, United States HCA HealthONE Swedish Full timeJob Overview:We are seeking a highly skilled Clinical Nurse Specialist to join our team at HCA HealthONE Swedish. As a Clinical Nurse Specialist, you will be responsible for delivering high-quality patient-centered care and providing educational support to nurses in the acute care unit.Responsibilities:Achieve and maintain certification as a Certified...
-
Conforming Non-QM Processing Specialist
2 weeks ago
Englewood, Colorado, United States Redwood Trust Inc Full timeAbout the RoleThis Non-QM Client Services Representative position involves daily interactions with loan originators, secondary marketing, underwriting, loan delivery, and IT departments. The ideal candidate must possess a thorough understanding of operational policies, enabling them to convey requirements clearly and concisely to clients and manage changes...
-
CYBER SECURITY SPECIALIST
6 days ago
Englewood, United States City Light & Power, Inc. Full timeCyber Security Specialist Location: Greenwood Village, CO CLP Engineering is seeking a Cyber Security Specialist to join our team at our corporate location in Greenwood Village, CO. CLP Engineering (CLPE) is a full-service electric utility solutions engineering firm with more than twenty years' experience in electrical utility system ownership, upgrades,...
-
Medical Therapist
3 weeks ago
Englewood, Colorado, United States Healthcare Clinical Employee Services PC Full time**Career Opportunity:** Medical Therapist - Outpatient Care SpecialistWe are seeking a dedicated and passionate Physical Therapist to join our team at ProActive Physical Therapy. As a respected provider of quality care, we prioritize delivering exceptional services to our patients.**Job Summary:Deliver personalized physical therapy treatment in an outpatient...
-
Patient Access Specialist Ambulatory Clinic
3 months ago
Englewood, United States UC Health Full timeDescription Location: UCHealth ASC Inverness, US:CO:EnglewoodDepartment: UCHlthMG Heart Vas Clinic CtyFTE: Full Time, 1.0, 0.00 hours per pay period (2 weeks)Shift: Days Pay: $19.10 - $24.83 / hour. Pay is dependent on applicant's relevant experienceSummary:Performs receptionist, registration, and clerical duties associated with registering patient for...
-
Senior Clinical Behavior Analyst
3 days ago
Englewood, Colorado, United States HealthPRO Heritage Full timeJob Summary:We are seeking a highly skilled Senior Clinical Behavior Analyst to join our team at HealthPRO Heritage. As a Board Certified Behavior Analyst (BCBA), you will be responsible for conducting behavioral assessments, designing and implementing measurable, evidence-based goals across environments.Key Responsibilities:Conduct behavioral assessments,...