Average salary: $49,832 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote workArgonaut Management Services, Inc
Denver, CO3 days ago$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Denver, CO4 days ago$19 per hour
...Job Full Description Express is recruiting for Prior Authorization Specialists for a local hospital MUST PASS BACKGROUND CHECK AND DRUG TEST MUST HAVE PROOF OF VACCINATIONS Schedule is Tuesday, Wednesday, Thursday 8:00am - 5:00pm $19...SuggestedLocal areaExpress Employment Professionals
Grand Junction, CO1 day ago- ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Denver, CO13 hours ago $21 - $23 per hour
...record vitals, history, medications. Enter provider orders for prescriptions, labs, imaging, and referrals. Manage prior authorizations, medication refills, and other administrative tasks. Communicate with patients regarding results, appointments, and...SuggestedFull timeImmediate startWSi Healthcare Personnel
Denver, CO2 days ago$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Denver, CO2 days ago- ...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....SuggestedRemote work
Pharmacy Careers
Colorado Springs, CO3 days 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...SuggestedBi-weekly payHourly payFull timeContract workFor contractorsShift workNight shift
Matrix Providers
Colorado Springs, CO2 days ago $21 - $25 per hour
Radiology Imaging Associates / Invision Sally Jobe is seeking a Pre-Authorization Specialist in Englewood, CO, to manage complex prior authorizations for radiology services. This role requires expertise in payer guidelines and workflows to facilitate accurate approvals...SuggestedHourly pay- ...five years Accurate 10-key ability Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, CMS1500, HCPCS Experience in researching denials and how to resolve for payment Knowledge of government and commercial insurance billing, appeals, and prior authorization #J-18808-Ljbffr...Suggested
Medical Pathology Associates
Greenwood Village, CO3 days ago $40k - $52.3k
...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to... ...years' experience working in an administrative support capacity Prior professional experience on Microsoft Word, Outlook and Excel with...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Denver, CO5 hours agonew- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Aurora, CO1 day ago $18 - $26 per hour
...reflects our commitment to your well‑being and career trajectory. Prior experience as a Medical Assistant 3+ years of experience as a... ...phone calls, triage needs, refill medications, and push prior authorizations forward to prevent delays. You stay attentive to patient...SuggestedHourly payFull timeTemporary workWeekday workMinimally Invasive Procedure Specialists
Centennial, CO1 day ago- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...SuggestedPermanent employmentTemporary work
Vitesse Systems
Longmont, CO22 days ago $23.49 - $30.53 per hour
...does not offer a hybrid or remote option Summary: Responsible for providing access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance Programs, benefits investigation, processing refill renewal...SuggestedFull timeTemporary workLocal areaRemote workFlexible hoursShift workUCHealth
Aurora, CO2 days ago$19 - $21 per hour
...objectives of our home care operations. Track and maintain records for Authorization department Sort and process incoming reports before putting... ...coverage of home health care services Obtains and documents prior authorization for home care services from insurance providers...Hourly payFull timeMonday to FridayShift workHuman Touch Home Health Care
Colorado Springs, CO1 day ago$21 - $25 per hour
Pre-Authorization Specialist | Englewood, CO Reports to Pre-Service Manager Employment Type: Full Time This role is 100% in-office... ...and associated medical care. Summary of Position: The Prior Authorization Specialist is responsible for handling complex authorization...Hourly payOngoing contractFull timePart timeReliefWork at officeRadiology Imaging Associates
Centennial, CO3 days ago$19.28 per hour
..., primary/secondary insurance eligibility criteria, and where to find this critical data. Collaborate & Support: Back up our Prior Authorization Specialist with PARs and doctor revalidations, and pitch in with the Customer Care team to answer calls, process orders, and...Full timeMosaic
Canon City, CO2 days ago$20 - $24 per hour
...What you will do Prepare patients for medical eye exams with the clinical doctor by completing preliminary testing. Complete prior authorizations for patient medications. Utilize EHR system to capture patient history and vision concerns. Support the company mission by...Hourly payFull timeTemporary workLocal areaEVP EyeCare
Littleton, CO5 hours agonew$110 - $120 per hour
...per month, including nights and weekends. Collaborate with a medical assistant team to manage scheduling, triage, faxes, prior authorizations, Ensure timely and accurate documentation in compliance with facility and regulatory standards. Qualifications Doctor...Full timeRelocation packageShift workNight shift3 days per weekProtouch Staffing
Fort Collins, CO3 days 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. ~ Benefits: Competitive financial package with a comprehensive insurance...Bi-weekly payHourly payFull timeContract workMonday to FridayNight shift
Matrix Providers
Colorado Springs, CO5 hours agonew $65k - $75k
...Understands and extends company facilities, utilizing binding authorities or brokering risks when necessary to successfully negotiate placements... ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative...Hourly payBridge Specialty Group
Greenwood Village, CO3 days ago- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...Temporary workWork at office
Vitesse Systems
Longmont, CO1 day ago $90k - $110k
...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...Hourly payWork experience placementWork at officeBrown & Brown
Denver, CO13 hours ago$150k - $200k
...biosimilars, opioid safety, behavioral health integration and 340B strategy. Develop and implement utilization management protocols, prior authorization oversight and medication adherence programs. Provide leadership and oversight of pharmacy and therapeutics committee...Contract workThe Jacobson Group
Denver, CO3 days ago$16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Denver, CO4 days ago- ...Joint Commission standards, and CHC Behavioral Health department by laws in a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan documentation, and discharge. Completes and locks all treatment notes no later than...Full timeImmediate startTrial periodAfternoon shift
Moses-weitzman Health System
Centennial, CO4 days 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$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- Mercor is seeking experienced Medication and Pharmacy Prior Authorisation specialists in Thornton, Colorado, to improve AI systems in pharmacy benefit management. Candidates should have 5+ years of experience in speciality medication access and a strong knowledge base in...Remote job
