Authorization & Referral Specialist - FT

HAXTUN HOSPITAL DISTRICT•Haxtun, CO

1d•Onsite

About The Position

Haxtun Health is seeking an engaging, detail-oriented professional who enjoys helping patients navigate referrals, insurance authorizations, and financial assistance, while serving as a supportive and effective liaison between patients, providers, and payers. The Authorization & Referral Specialist coordinates patient referrals, obtains insurance prior authorizations for procedures and medications, and assists patients with accessing financial assistance programs. This role serves as a liaison between patients, providers, insurance companies, pharmacies, and community partners to support timely access to care and reduce financial barriers. Responsibilities include processing and tracking referrals, submitting and following up on authorization requests, maintaining accurate documentation in the EHR, and communicating updates to patients and clinical staff. The specialist also helps patients navigate insurance benefits and financial resources while ensuring compliance with payer requirements, HIPAA, and organizational policies.

Requirements

High school diploma or equivalent required
Minimum of 1 year of experience in a healthcare setting
Familiarity with electronic health records and insurance portals
Ability to learn health insurance processes, including prior authorization and coverage requirements
Excellent organizational and time management skills with attention to detail
Strong verbal and written communication skills
Ability to work independently and manage multiple tasks simultaneously
Compassionate, patient centered approach with sensitivity to financial and social stressors

Nice To Haves

Postsecondary education in healthcare administration, social services, or a related field, preferred
Prior authorizations, billing, or patient access experience, preferred
Experience with Medicaid and other public assistance programs, strongly preferred

Responsibilities

Coordinates patient referrals
Obtains insurance prior authorizations for procedures and medications
Assists patients with accessing financial assistance programs
Serves as a liaison between patients, providers, insurance companies, pharmacies, and community partners
Processes and tracks referrals
Submits and follows up on authorization requests
Maintains accurate documentation in the EHR
Communicates updates to patients and clinical staff
Helps patients navigate insurance benefits and financial resources
Ensures compliance with payer requirements, HIPAA, and organizational policies

Benefits

Health Insurance: Haxtun Health covers 100% of employee only premiums for all health insurance plans. We also contribute a portion of the premiums for additional plan selections, including spouse, children, or family plans as applicable.
Dental and Vision Insurance: (optional) Haxtun Health pays 50% of the premiums, including spouse, children, or family, as applicable.
Paid Time Off (PTO): Accrued at approximately 17 days for the first year of employment for hourly employees and 22 days for the first year of employment for salaried employees. PTO accrual increases as your length of service increases. This includes holidays.
Sick Leave: Up to 48 hours per year.
Retirement Plan: Up to a 3% employer match, which increases with your length of service. New employees are automatically enrolled at a 1% contribution rate (can be opted out). Employees must complete 5 years of employment to be 100% vested.
Employee Health Payment Match: Haxtun Health matches employee payments up to $1,000 per year per family for services received at Haxtun Health’s hospital or clinics.
Family and Medical Leave Insurance Program (FAMLI): Haxtun Health participates in the CO FAMLI program, which is a social insurance program that provides up to 12 weeks of paid leave for qualifying life events.
Term Life Insurance: 1 x annual salary term life provided by HHD, no employee premium ($200,000 Max.). Additional voluntary life insurance coverage for the employee and family is an option which can be purchased by the employee.
Employee Assistance Program
Employee Purchasing Program
MASA Medical Transport Services (Air & Ambulance Supplemental)
College Invest (529 College Savings Plan)
Accidental death & dismemberment
Long-term disability
Supplemental plans (accident, critical illness, hospitalization)