Authorization Specialist
6 days ago
We are seeking a highly skilled Authorization Specialist to join our team at Orthopedic Centers of Colorado. As an Authorization Specialist, you will play a critical role in managing and processing authorization requests for services, procedures, and equipment within our organization.
Key Responsibilities- Authorize scheduled procedures, including surgeries, injections, medications, imaging, and other items requiring authorization with insurance.
- Verify eligibility and benefits for all procedure codes.
- Pre-collect payment for surgeries and other procedures as required by the department.
- Document work processes as required.
- Coordinate processes and route all paperwork as required to meet physician and ASC facility requirements.
- Recognize and respond appropriately to urgent/emergent situations.
- Follow all written protocols and procedures of the clinic, including the OCC handbook, CSO appendix, 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.
- Perform other duties as assigned by CSO leadership.
- Medical terminology knowledge.
- 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.
- Medical, dental, and vision insurance.
- Generous PTO package and paid holidays.
- Company-paid life insurance and long-term disability insurance.
- Ability to purchase accident insurance, short-term and long-term disability insurance.
- Opportunities for internal training and development.
- Retirement plan eligibility after one month of service with eligibility in company profit sharing.
- Most positions offer Monday-Friday work schedules.
- Typical business office environment.
- 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.
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Authorization Specialist
3 weeks ago
Louisville, Kentucky, United States SpringHealth Behavioral Health and Integrated Care Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Authorization Specialist to join our team at SpringHealth Behavioral Health and Integrated Care. As an Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary authorizations for their treatment.Key ResponsibilitiesAnswering Phones and...
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Prior Authorization Specialist
4 days ago
Louisville, Kentucky, United States EBlu Solutions LLC Full timeJob Title: Prior Authorization SpecialistWe are seeking a highly skilled Prior Authorization Specialist to join our team at EBlu Solutions LLC. As a Prior Authorization Specialist, you will play a critical role in ensuring that prior authorizations are completed accurately and in a timely manner.Job Summary:The Prior Authorization Specialist will be...
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Prior Authorization Specialist
4 weeks ago
Louisville, United States EBlu Solutions LLC Full timeJob DescriptionJob DescriptionDescription:Are you Looking for an opportunity to help Providers ensure Prior Authorization is completed accurately and timely?This is the role for you!! eBlu's Prior Authorization Specialist role is a key role that provides a service to practices throughout the United States to initiate and monitor Prior Authorization to...
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Prior Authorization Specialist
4 days ago
Louisville, United States EBlu Solutions LLC Full timeJob DescriptionJob DescriptionDescription:Are you looking for an opportunity to help providers ensure prior authorization is completed accurately and in a timely manner?This is the role for you!! eBlu's Prior Authorization Specialist role is a key role that provides a service to practices throughout the United States to initiate and monitor Prior...
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Authorization Management Specialist
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Louisville, Kentucky, United States Family Allergy & Asthma Full timeJob DescriptionPosition OverviewThe Authorization Management Specialist plays a crucial role in ensuring the smooth operation of prior authorization processes within the organization. This position requires a comprehensive understanding of job responsibilities and functions, working under the guidance of management. The specialist will engage with various...
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Pharmacy Authorization Specialist
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Authorization Coordinator
2 weeks ago
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Authorization Coordinator
7 days ago
Louisville, Kentucky, United States SpringHealth Behavioral Health and Integrated Care Full time{"title": "Authorization Specialist", "description": "Job SummaryWe are seeking a highly organized and detail-oriented Authorization Specialist to join our team at SpringHealth Behavioral Health and Integrated Care. As an Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary authorizations for their...
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Clinical Authorization Specialist
4 days ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our healthcare team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial...
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Prior Authorization Specialist
3 weeks ago
Louisville, United States TEKsystems Full timePrior Authorization Specialist needed!!! Description: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and...
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Prior Authorization Specialist
3 weeks ago
Louisville, Kentucky, United States TEKsystems Full timeJob SummaryWe are seeking a highly skilled Prior Authorization Specialist to join our team at TEKsystems. As a Prior Authorization Specialist, you will play a critical role in ensuring that our clients receive the necessary authorizations for their services.Key ResponsibilitiesVerify insurance eligibility and benefits of prospects/referrals and determine LHC...
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Medical Authorization Specialist
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2 weeks ago
Louisville, Kentucky, United States Southern Home Care Services, Inc. Full timeAbout the RoleWe are seeking a skilled Prior Authorization Coordinator to join our team at Southern Home Care Services, Inc. This role is responsible for ensuring timely and accurate completion of client prior authorization and change of therapy paperwork.Key ResponsibilitiesCollaborate with prescribers and facility contacts to ensure accurate and timely...
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Prior Authorization Specialist
4 weeks ago
Louisville, United States TEKsystems Full timeDescription: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in...
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Pharmacy Prior Authorization Specialist
3 days ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeJob Title: Prior Authorization CoordinatorWe are seeking a highly skilled Prior Authorization Coordinator to join our team at Pharmacy Alternatives, a specialized pharmacy provider focused on serving individuals with cognitive, intellectual, and developmental disabilities (I/DD). As a Prior Authorization Coordinator, you will play a critical role in ensuring...
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Pharmacy Prior Authorization Specialist
2 weeks ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeAbout the RoleWe are seeking a skilled Pharmacy Prior Authorization Coordinator to join our team at BrightSpring Health Services. As a Pharmacy Prior Authorization Coordinator, you will play a critical role in ensuring the timely and accurate completion of prior authorization and change of therapy paperwork for our clients.Key ResponsibilitiesCollaborate...
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Authorization Coordinator
4 weeks ago
Louisville, Kentucky, United States Medasource Full timeJob OverviewPosition: Prior Authorization SpecialistEmployment Type: 6 Month Contract-to-Hire (Onsite)Location: Louisville, KYKey Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.A minimum of one year in patient access roles is...
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Medical Authorization Coordinator
4 weeks ago
Louisville, Kentucky, United States Medasource Full timePosition OverviewRole: Prior Authorization SpecialistContract Type: 6 Month Contract-to-Hire (Onsite)Location: Louisville, KYEssential Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.Minimum of one year experience in patient access is...
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Prior Authorization Coordinator
2 months ago
Louisville, United States Family Allergy & Asthma Full timeJob DescriptionJob DescriptionDescription:Position SummaryThe Prior Authorization Coordinator is responsible for demonstrating knowledge and application of job duties and functions under the direction of their manager(s) and/or Director(s); respectfully interacts with all levels of staff; participates in department activities; promotes independence;...
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Patient Access Authorization Representative
4 weeks ago
Louisville, Kentucky, United States Medasource Full timePosition OverviewRole: Authorization SpecialistEmployment Type: Contract-to-HireLocation: RemoteKey Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.Minimum of one year experience in patient access is preferred.Familiarity with medical terminology...