Authorization Specialist

3 weeks ago


Greenwood Village, Colorado, United States Rocky Mountain Cancer Centers Full time

Job Summary:

We are seeking an experienced Authorization Specialist to join our team at Rocky Mountain Cancer Centers. As a key member of our team, you will be responsible for reviewing and processing medical necessity for each patient chemotherapy treatment, as well as auditing documentation of regimen and pathway adherence.

Responsibilities:

  • Reviews and processes medical necessity for each patient chemotherapy treatment
  • Audits documentation of regimen and pathway adherence
  • Works as a patient advocate and liaison between the patient and payer to answer routine and complex inquiries and avoid insurance delays
  • Obtains insurance authorization and pre-certification for chemotherapy services
  • Researches additional or alternative resources for non-covered services to prevent payment denials
  • Provides a contact list for patients, including community resources, special programs, drugs, and pharmaceutical supplies, and financial resources
  • Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans
  • Provides prompt feedback to physicians and management regarding pathway documentation issues and payer issues with non-covered chemotherapy drugs
  • Prepares and submits write-off requests with appropriate documentation
  • Processes insurance/patient correspondence, including denial follow-up
  • Maintains reimbursement correspondence and filing systems
  • Reviews and processes adjustments and refund requests
  • Assists with review of financial disclosures and negotiated agreement adjustments
  • Provides coverage for Patient Financial Counselors
  • Reports any problems, issues, or payer trends
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization
  • Complies with patient confidentiality laws and regulations

Requirements:

  • High school degree or equivalent
  • Minimum two (2) years medical insurance verification and authorization required
  • Billing and coding experience preferred

Benefits:

We offer a competitive salary range of $18.29-$25.00, based on education, work experience, certification, and other factors. In addition to your salary, you will be eligible for a range of benefits, including health, dental, and vision plans, wellness program, health savings account, flexible spending accounts, 401(k) retirement plan, life insurance, short-term disability insurance, long-term disability insurance, Employee Assistance Program, PTO, holiday pay, tuition reimbursement, and employee-paid critical illness and accident insurance.



  • Greenwood Village, Colorado, United States PSG Global Solutions Careers Full time

    Key ResponsibilitiesAs a Cybersecurity Specialist, you will be responsible for guiding application security initiatives, utilizing research, business case development, scoping, and all phases of the product development lifecycle.You will act as a specialist for key stakeholders on proper security development, hardening of systems, code scanning and...


  • Greenwood Village, Colorado, United States PSG Global Solutions Careers Full time

    About the RoleWe're seeking a seasoned Senior Cybersecurity Specialist to join our team at PSG Global Solutions Careers. As a key member of our security team, you will be responsible for guiding application security initiatives, translating security best practices into actionable steps, and collaborating with stakeholders to implement security strategies.Key...


  • Greenwood Village, Colorado, United States CCMSI Full time

    About the Role:CCMSI is seeking an experienced Multi-Line Claim Rep II - Cargo/APD Specialist to join our team as a Multi-Line Liability Claim Representative II.This remote position focuses on the investigation and adjustment of commercial trucking cargo and automobile physical damage (APD) claims.As a key member of our claims team, you will be responsible...


  • Greenwood Village, Colorado, United States Saxon Global Full time

    Job Description:We are seeking a highly skilled Senior Systems Infrastructure Specialist to join our team at Saxon Global. As a key member of our infrastructure team, you will be responsible for designing, implementing, and maintaining our development team deployment infrastructure. Key Responsibilities: Manage and monitor installed development systems and...


  • Greenwood Village, Colorado, United States Saxon Global Full time

    Job Title: QA TesterA quality assurance analyst plays a crucial role in ensuring the quality of software products by identifying and analyzing defects before they reach the end-users. They develop and execute tests to validate the functionality and performance of software applications.Key Responsibilities:Develop and execute test plans to ensure software...


  • Greenwood Village, Colorado, United States INSPYR Solutions Full time

    OT Network Security EngineerLocation: Houston, TX or Denver, CODuration: Full-timeWork Requirements: US Citizen, GC Holders, or Authorized to Work in the USKey Responsibilities:Design and implement secure network architectures for industrial systemsConduct vulnerability assessments and penetration testingDevelop and maintain security policies and...


  • Greenwood Village, Colorado, United States PSG Global Solutions Careers Full time

    About the RoleWe are seeking a highly skilled Chief Security Architect to join our team at PSG Global Solutions Careers. As a key member of our organization, you will be responsible for guiding our security initiatives and ensuring the integrity of our products and services.Key Responsibilities:Develop and implement security best practices in product...


  • Greenwood Village, Colorado, United States Ulteig Full time

    Job Title: Summer 2025 Environmental InternUlteig is seeking an Environmental Intern to facilitate environmental compliance with Federal, State, and Local regulations for public and private clients across all of our Lifeline Sectors.The OpportunityOur goal is to assist clients with developing an approach to environmental compliance and due diligence that...

  • Scrum Master

    3 weeks ago


    Greenwood Village, Colorado, United States IntePros Full time

    Job Title: Scrum MasterWe are seeking a highly skilled Scrum Master to join our team at IntePros, a certified woman-owned company specializing in innovative and results-oriented recruiting and staffing solutions.About the RoleThe ideal candidate will have strong communication and leadership abilities, with proven experience managing cross-functional teams...

  • Financial Consultant

    4 weeks ago


    Greenwood Village, Colorado, United States Fidelity TalentSource LLC Full time

    Job Description:Phone Financial ConsultantFidelity is committed to creating a safe and respectful environment where every associate and customer is treated with kindness, compassion, and respect. Abby Johnson, Chairman & CEO Fidelity InvestmentsAre you ready to take your career to the next level?With your exceptional knowledge and integrity, we know that...


  • Greenwood Village, United States Ledgent Finance & Accounting Full time

    Job DescriptionJob DescriptionLedgent is currently partnering with a firm located in the DTC who is seeking a detail-oriented and proactive Accounts Payable Specialist to join their finance team on a contract to hire basis.In this role, you will be responsible for reviewing a high volume of invoices daily (150-250) to ensure proper coding, backup...


  • Greenwood, Indiana, United States Biolife Plasma Services Full time

    About the RoleBioLife Plasma Services is seeking a highly skilled and compassionate Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors.Key ResponsibilitiesDetermine donor eligibility to donate plasma, including proper management of informed consent,...


  • Greenwood, South Carolina, United States Takeda Full time

    About the Role:We are seeking a highly skilled Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors. Your primary responsibilities will include determining donor eligibility, managing donor adverse events, reviewing laboratory...


  • Greenwood Village, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for an Applications Security Engineer, working in Telecommunications industry in Greenwood Village, Colorado, United States. Actively and consistently support all efforts to simplify and enhance the customer experience. Bring...


  • Greenwood, Indiana, United States Avalign Technologies Full time

    Job Title: Assembly Reclaim SpecialistAvalign Technologies is seeking a skilled Assembly Reclaim Specialist to join our team in Greenwood, IN. As a key member of our production team, you will be responsible for processing product scrap or rework, ensuring timely and accurate completion of tasks.Key Responsibilities:Track rework quantities and products,...


  • Westlake Village, United States AAA Full time

    AAA - 2404 Townsgate Rd [Customer Service Representative] As a Travel Support Specialist at AAA, you'll: Answer and service all incoming departmental calls and emails for destinations prior to departure and during travel; Process specific tasks in addition to incoming calls, such as relocations, schedule changes, document concerns, etc; Research all payment...


  • Greenwood Village, United States CommonSpirit Full time

    Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...


  • Greenwood Village, United States Hormel Foods Full time

    Foodservice Sales Representative To save time applying, Hormel Foods does not offer sponsorship of job applicants for employment-based visas for this position at this time.  ABOUT HORMEL FOODS — Inspired People. Inspired Food. Job Purpose: Foodservices Sales Representatives are responsible for calling on a variety of existing customers with the objective...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you’ll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You’ll also review work completed by authorized third-party contractors and provide...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you’ll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You’ll also review work completed by authorized third-party contractors and provide...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you’ll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You’ll also review work completed by authorized third-party contractors and provide...


  • Greenwood, United States Best Buy Careers Full time

    As a Visual Merchandising Specialist, you’ll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You’ll also review work completed by authorized third-party contractors and provide...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you’ll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You’ll also review work completed by authorized third-party contractors and provide...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you'll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You'll also review work completed by authorized third-party contractors and provide functionality...


  • Greenwood, United States Best Buy Full time

    As a Visual Merchandising Specialist, you'll be responsible for performing installations as part of remodels, vendor-supported activities, decommissions, disaster recovery and other company initiatives. This involves working both dayside and overnight shifts. You'll also review work completed by authorized third-party contractors and provide functionality...


  • Greenwood, Indiana, United States Elanco Full time

    At Elanco, We're Committed to Animal HealthWe're a global leader in animal health, dedicated to innovation and delivering products and services to prevent and treat disease in farm animals and pets. Our vision is to 'Food and Companionship Enriching Life,' and our approach to sustainability – the Elanco Healthy Purpose – aims to advance the health of...

  • Driver (AM Shift)

    2 weeks ago


    Greenwood Village, United States Air Culinaire Worldwide Full time

    4:00AM to 12:00PM Shift Job Summary: The Driver's primary duty is delivering all orders, shopping, maintaining delivery vehicles and providing stellar customer service at every FBO and Client location. Under the supervision of the General Manager, i.e., the Driver will be responsible for managing the timeliness of the final product that will be delivered to...


  • Bay Village, Ohio, United States Matrix Medical Network Full time

    About the RoleMatrix Medical Network is seeking a skilled Nurse Practitioner or Physician Assistant to join our team as a Home Risk Assessment Specialist. In this role, you will conduct comprehensive health assessments in the comfort of patients' homes, providing unmatched insight into their overall health and well-being.As a Home Risk Assessment Specialist,...

  • Phlebotomy Specialist

    3 weeks ago


    Elk Grove Village, Illinois, United States Alverno Laboratories Full time

    Job Summary:As a Phlebotomy Specialist at Alverno Laboratories, you will play a vital role in the collection of blood specimens and laboratory office duties. This position requires a high level of accuracy and attention to detail, as you will be responsible for registering patients, entering data into the computer system, and processing laboratory specimens....


  • Elk Grove Village, Illinois, United States Bright Light Medical Imaging Full time

    Job SummaryAt Bright Light Medical Imaging, we are seeking a Part-time Patient Relations Specialist to join our team. As a Patient Relations Specialist, you will play a vital role in ensuring our patients receive exceptional care and service.Key Responsibilities Greet patients professionally and courteously, both in person and on the phone Answer and direct...