Medical Office Representative

Prior Authorization Coordinator Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Part time Shift: Day (United States of America) Address: 2555 S Downing St City: Denver State: Colorado Postal Code: 80210 Job Description This position will be a dedicated Prior Authorization Coordinator and is responsible for managing the full lifecycle of insurance prior authorizations for medications, diagnostic imaging, and in-clinic procedures related to complex gynecologic conditions. This role serves as a liaison between insurance payers, providers, clinical staff, and ancillary departments to ensure timely authorization approvals, minimize treatment delays, and support optimal patient care. The coordinator is also responsible for managing appeals, peer-to-peer reviews, retroactive authorizations, and maintaining accurate documentation within the electronic medical record (EMR) Answers incoming phone calls, responds to inquiries, and directs calls appropriately. Welcomes patients; updates, verifies, and enters patient demographics, insurance, and billing information and processes forms into appropriate systems. Registers patients for services, ensures accuracy, facilitates timely discharge, and maximizes reimbursement. Ensures all financial assessments, eligibility, and benefits memos are clear, updated, and thorough to support post-care financial needs. Maintains a working relationship with clinical partners to ensure open communication between clinical, ancillary, and patient access departments, enhancing patient experiences. Provides timely and continual coverage of assigned work area to offer prompt patient service and availability for all clinical partners' registration needs. Performs specialty services and duties as requested to ensure the smooth operation of the Guest Services departments. Promotes a safe work environment. Communicates patients' status to appropriate team members and keeps patients apprised to maintain effective operational flow. Provides education to patients regarding test locations, patient portal use, and follow-up (non-clinical) actions. Requests co-pays and/or outstanding balance at the time of check-in respectfully but firmly. Other duties as assigned. Knowledge, Skills, and Abilities Education: Associate and/or higher-level education or completed coursework in health services administration or other related medical or business field. [Preferred] High School Grad or Equiv [Required]Field of Study: High School Grad or Equivalent Required Associate's Degree in Health Services Administration or other related medical or business field Preferred Work Experience: 1+ customer services and medical office or equivalent with medical terminology, coding, charge entry and payment collection. [Preferred] Prior collections experience. [Preferred] Prior-Authorization experience. [Required] Licenses and Certifications:Certified Healthcare Access Associate (CHAA) [Preferred]Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - Pay Range: $19.77 - $31.63 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.