Average salary: $49,832 /yearly
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- A healthcare solution provider in Denver, CO is looking for a Prior Authorization Specialist to manage payer relationships and ensure compliance with prior authorization processes. The ideal candidate will have in-depth knowledge of healthcare financial operations and prior...Suggested
$100k
Job Description Job Description We are an Office of Professionals who Love what we do and have weekends and holidays off! HISTORICALLY members of our team stay for a minimum of 3 years, many are at or close to 10 years! It is surprising how fulfilling what...SuggestedPermanent employmentWork at officeRandy Bales Insurance Agency Inc
Centennial, CO19 days ago- A leading health services organization based in Denver is seeking a skilled individual to manage inbound phone inquiries for utilization management. The role requires 3 years of customer service experience, with at least 1 year in the healthcare sector. The ideal candidate...Suggested
$23.5 - $26 per hour
A leading medical device company based in Lone Tree, CO is seeking a Prior Authorization Specialist to facilitate pre-claim activities for reimbursement orders. The role requires effective communication and collaboration with stakeholders. Candidates should possess a Bachelor...SuggestedHourly pay$23.5 - $26 per hour
A global leader in hearing health care is seeking a Prior Authorization Specialist in Lone Tree, Colorado. This role focuses on facilitating reimbursement orders and requires a strong background in health insurance, including prior authorization and verification processes...SuggestedHourly pay$22.75 - $35.26 per hour
...The position would part time on the floor with a provider and part time in administration support with medication refills and prior authorizations Minimum Requirements: Graduate of an accredited Practical or Vocational Nursing program. State licensure as a...SuggestedFull timeTemporary workPart timeLocal areaRemote workFlexible hoursShift workUCHealth
Fort Collins, CO1 day ago$19 - $21 per hour
...of our home care operations. Track and maintain records for Authorization department Sort and process incoming reports before putting... ...of home health care services Obtains and documents prior authorization for home care services from insurance providers...SuggestedHourly payFull timeMonday to FridayFlexible hoursShift workHuman Touch Home Health Care
Colorado Springs, CO4 days ago$300k
...0-25 patients per day Collaborate with multiple physicians and APPs Scribes provided Dedicated team handles prior authorizations, follow-up calls, and administrative support Opportunity to participate in clinical trials , if desired Integrated...SuggestedFull timeWork at officeLocal areaMonday to FridayFlexible hoursWeekend workRecruitWell LLC
Colorado Springs, CO3 days ago$18 - $26 per hour
...: Patient rooming and preparation Managing inbound patient phone calls Medication refills Processing medication prior authorizations Responding to patient portal messages Stocking exam rooms and ensuring clinical readiness Ordering supplies Capturing...SuggestedHourly payTemporary workApprenticeshipMonday to FridayMinimally Invasive Procedure Specialists
Littleton, CO3 days ago$23.5 - $26 per hour
Prior Authorization Specialist (Internal title: Reimbursement Operations PreClaim Specialist) Position Spotlight Comprehensive role-based training provided Fixed 8-hour shift scheduled within regular business hours (6am-6pm Mountain Time), Monday to Friday Hybrid work...SuggestedHourly payWork experience placementWork at officeImmediate startRemote workWork from homeHome officeMonday to FridayShift work2 days per week3 days per week$18.5 - $42.35 per hour
...organization is seeking a Business Configuration Sr. Coordinator in Aurora, Colorado. This role involves operational development of prior authorization criteria, managing projects, and supporting cross-functional teams. Candidates should have a BA/BS or equivalent experience...SuggestedHourly pay$95k - $110k
Job Description Job Description About the Role We are seeking a disciplined, execution-focused Insurance Sales Manager to lead and strengthen our internal sales team as we enter our next phase of growth. This role is responsible for building structure, driving...SuggestedInsurance Centers of America, Inc
Colorado Springs, CO2 days ago$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office$36.66 - $48.48 per hour
...Position Summary The RN Insurance Authorization Specialist obtains authorizations for all designated services at National Jewish... ...plan directors to ensure all necessary approvals are obtained prior to care. # Provides safe and appropriate patient care...SuggestedDaily paidWork experience placementReliefNational Jewish Health
Denver, CO4 days ago$155k - $160k
...support. Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms. Review patient‑specific information in cases where the site has specifically...SuggestedWork at officeFlexible hours$72k - $85k
A health technology company is seeking a technician trainer to develop and deliver training programs for technicians. The ideal candidate will have 2+ years of pharmacy technician experience and a National Certified Pharmacy Technician license. Responsibilities include ...Remote job$18.39 - $24.99 per hour
....Prioritize and review work for optimal reimbursement and to avoid financial risk to both patient and the clinic. Understand prior authorization process and impact to scheduling.Ensure high quality scheduling is completed accurately and timely through maintenance of departmental...Hourly payWork at officeShift workNight shiftWeekend workIntermountain Health
Grand Junction, CO1 day ago$20 - $25 per hour
...and organize client paperwork; ensure all forms are complete prior to appointments. Process client payments and maintain accurate... ...records; assist with daily deposit preparation. Manage prior authorizations (PARs) and treatment plans (POCs) for Medicaid clients; verify...Full timePart timeMonday to FridayShift work$76k - $85k
...an RN with 2+ years of clinical nursing experience and knowledge of medical management. Responsibilities include performing prior authorization reviews, communicating with providers, and assisting members with services coordination. The salary ranges from $76,000 to $8...Remote job- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote job
$72k - $85k
...Responsibilities Facilitate the onboarding process for new hires and provide comprehensive training sessions for technicians on prior authorization systems, processes, and procedures utilizing a variety of training methods. Develop and update training materials, resources...Work at officeLocal areaRemote workShift work$20 - $21 per hour
...to support patient care and clinician satisfaction. Patient Support: Assist clinicians with patient care aspects including prior authorizations, lab orders, letters, records requests, and coordination of forms (e.g., FMLA). Facilitate communication between patients, medical...Full timeWork at officeRemote work$75.1k - $96k
...and pleasantly. Active listening skills. Adapt to a quickly changing environment. Working knowledge in pharmacy billing, prior Authorization, appeals, and peer-to-peer review. Special knowledge or skills and/or licenses or certificates preferred Bilingual/Spanish...Temporary workWork at office$215k - $265k
...responsibility shared amongst multiple Physicians Robust support team that allows physicians to focus on patient care Internal prior-authorization team to reduce administrative burden on Physicians Clinical PharmD Support Highly engaged leadership here to support...Work at officeFlexible hoursSummit Health Medical Group
Clifton, CO1 day ago$20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...For contractorsWork at officeLocal areaHighmark Health
Denver, CO6 hours ago- ...protocols and documentation. Primary duties may include: Scheduling, preparing and handing out medication refills Processing prior authorizations for oral oncolytics and sending prescriptions to the IOD or other specialty pharmacy Validation of refills prepared by other...Work at officeLocal area
GI Alliance
Centennial, CO1 day ago $19 - $22.14 per hour
...documenting vital signs, performing point of care testing, assisting in minor procedures, fielding patient phone calls, obtaining prior authorizations and maintaining patient care supplies. The MA works within an integrated, multi-disciplinary team and may be assigned to...Hourly payImmediate start$19 - $21 per hour
...Schedule pre- and post-operative appointments and assist with patient inquiries. Confirm patient insurance coverage and obtain prior authorizations if required. Accurately complete patient charting and documentation. Pathology log management: Act as liaison between...Hourly payFull timeWork at officeLocal areaShift workWeekend workForefront Dermatology
Englewood, CO1 day ago- ...nights, weekends, or home call if future need arises. The Contract employee shall work no more than 40 hours per week without prior authorization from the supervisor or department chief. Minimum Qualifications: * Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy...Bi-weekly payHourly payFull timeContract workFor contractorsInternshipWork at officeShift workNight shift
Matrix Providers
Colorado Springs, CO4 days ago $65 - $70 per hour
...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...Hourly payRemote workShift workClinDCast
Denver, CO3 days ago
