Healthcare Authorization Specialist

National Medical Supply, Inc.•Highlands Ranch, CO

104d•$22 - $26•Onsite

About The Position

The Healthcare Authorization Specialist processes orders, including insurance verification and authorization, in accordance with assigned responsibilities and organizational policies. This is an on-site role in Littleton, Colorado. The position includes following applicable company policies, Medicare and Medicaid requirements, and accreditation standards. The specialist completes required training and competency assessments, maintains accurate and timely documentation, reports concerns and compliance issues through established channels, supports resolution of patient or customer concerns, participates in audits and performance improvement activities, and adheres to regulatory and organizational requirements.

Requirements

Ability to use required systems, applications, and technology to perform job responsibilities.
Meet and maintain qualifications required for the position.

Nice To Haves

Healthcare intake or billing experience preferred.

Responsibilities

Verify insurance eligibility and benefits.
Obtain prior authorizations.
Review documentation for completeness.
Coordinate with providers.
Process orders accurately.
Resolve documentation issues.
Communicate status updates.
Track pending authorizations.
Escalate unresolved issues.
Follow company policies, Medicare and Medicaid requirements, and accreditation standards.
Complete required training, competency assessments, and ongoing education based on role responsibilities.
Ensure the accuracy, completeness, and timeliness of documentation.
Report concerns, errors, or compliance issues through established channels.
Report patient or customer concerns or complaints and support their resolution in accordance with company processes.
Participate in audits, monitoring, and performance improvement activities.
Support adherence to organizational policies and regulatory requirements in daily work.