Top 28 Prior authorization specialist Jobs in Aurora, Co

Referral and Authorization Specialist (with specialty practice)
Western Nephrology —Wheat Ridge, CO
- $21 - $23 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
2d
Intake & Authorizations Specialist
Trusted Ally Home Care —Denver, CO
- $65,000 - $75,000 a year
- Full-time
- Nursing
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
2d
Prior Authorization Specialist
CareMed Specialty Pharmacy —Denver, CO
- $23 - $26 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
1d
Admissions Specialist
Parkview Care Center —Denver, CO
- $26 - $31 an hour
- Full-time
- Spanish
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Medication Access Specialist
UCHealth —Denver, CO
- $23.49 - $30.53 an hour
- Full-time
- Mid-level
- High school diploma or GED
- In-person
- 403(b) matching
- Health savings account
Authorization Specialist
Rocky Mountain Cancer Centers —Greenwood Village, CO
- $18.29 - $26.00 an hour
- Background check
- Pass drug screening
- Research
- Wellness program
- Health savings account
Biologics and Medications Insurance Specialist
National Jewish Health —Denver, CO
- $22.76 - $30.10 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Wellness program
- Health savings account
Healthcare Authorization Specialist
National Medical Supply, Inc. —Highlands Ranch, CO
- $20 - $22 an hour
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
3d
Consumer Exp Specialist I NE PRN **(Candidates Local to Colorado Only)**
AdventHealth Porter —Greenwood Village, CO
- $19.58 - $31.32 an hour
- PRN
- Spanish
- Computer literacy
- Writing skills
Release of Information Specialist - Correctional Care
Denver Health —Denver, CO
- $21.00 - $25.95 an hour
- Full-time
- Microsoft Outlook
- Pass drug screening
- HIPAA
- Paid parental leave
- Paid holidays
14d
Specialty Pharmacy Liaison Certified
CommonSpirit Health —Englewood, CO
- $30.91 - $51.00 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
8d
Patient Access Acute Representative I PRN
Intermountain Healthcare —Denver, CO
- $18.85 - $25.61 an hour
- Part-time
- Acute care
- Hospital
- Computer literacy
Insurance Accounts Receivable Specialist
Klarisana Physician Services PLLC —Westminster, CO
- $24 - $26 an hour
- Hybrid work
- ERP systems
- Mid-level
- High school diploma or GED
Quick Apply
Patient Access Acute Representative I
Intermountain Healthcare —Brighton, CO
- $19.41 - $28.14 an hour
- Full-time
- Hybrid work
- Acute care
- Hospital
- Computer literacy
Medical Billing & Follow-Up Specialist
National Jewish Health —Glendale, CO
- $22.76 - $29.10 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- Wellness program
- Health savings account
Medical Scribe
Oak Street Health —Denver, CO
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Admissions Specialist
Allison Care Center —Lakewood, CO
- $21 - $26 an hour
- Full-time
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
7d
Medical Records Subpoena Coordinator
J Square Ltd —Denver, CO
- $18 - $20 an hour
- Full-time
- HIPAA
- Mid-level
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply
Pharmacy Technician Ambulatory Rheumatology
Intermountain Healthcare —Denver, CO
- $20.73 - $31.58 an hour
- Full-time
- Computer literacy
- BLS Certification
- Outpatient experience
Billing/Payroll Analyst
PASCO (Personal Assistance Services of Colorado) —Lakewood, CO
- $60,000 - $65,000 a year
- Full-time
- Hybrid work
- Spanish
- HIPAA
- English
Quick Apply

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Referral and Authorization Specialist (with specialty practice)

Western Nephrology -
Wheat Ridge, CO

Quick Apply

Job Details

Full-time
$21 - $23 an hour
2 days ago

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Pet insurance

Qualifications

Customer communication
Overseeing health insurance pre-certification
Electronic health records (EHR) management
High school diploma or GED
Healthcare referral management
Health insurance referral requirements

Full Job Description

This position is onsite only - there are no hybrid or remote options available. Days of work are Monday through Friday. The hours may vary from 8:00 am–5:00 pm or 8:30 am-5:00 pm depending on length of lunch.

Are you a detail-oriented healthcare support professional who thrives in a dynamic environment? Western Nephrology is seeking a dedicated team member to support our clinic operations through prior authorizations, specialty referrals, and patient scheduling. In this vital role, you will serve as a bridge between patients, clinical care teams, and insurance carriers—ensuring our nephrology patients receive seamless, timely care while navigating complex insurance processes.

Key Responsibilities

Prior Authorizations & Referrals: Submit, track, and obtain prior authorizations and referrals for new and established patients; actively review databases to ensure all approvals are secured prior to appointment dates.
Clinic & Billing Collaboration: Partner closely with clinic staff, providers, and billing teams to ensure authorization accuracy, communicate approval/denial statuses, and minimize claim denials.
Patient Financial Navigation: Clearly answer patient inquiries regarding copays, deductibles, patient-responsible portions, and write-offs.
Records & Administration: Process third-party medical record requests efficiently while maintaining strict compliance with HIPAA guidelines.

Qualifications & Requirements

High School Diploma or equivalent required.
2 years handling provider referrals and prior authorizations in a specialty care setting.
EMR experience

What Makes You a Great Fit

Solid understanding of commercial and government insurance carrier procedures, medical terminology, and HIPAA regulations.
Demonstrated ability to assess complex situations, anticipate issues, and prioritize urgent patient appointments.
Excellent written and verbal communication skills with an emphasis on active listening, empathy, and exceptional customer service.
Proven ability to multitask and complete high-volume assignments independently while maintaining a strong team-player mindset.

We offer a supportive team culture, competitive compensation, and the opportunity to make a meaningful difference in our patients' lives every day. We offer a team based culture where we appreciate, recognize, and support each other’s successes. We hire people that have a positive attitude and live to serve others! Do you want to have fun and work hard? Come grow your medical career with us!

Competitive compensation package includes medical, dental, vision, life, long term disability, health savings account, 401k retirement with generous matches, paid holidays, PTO and a cash out option after one year of employment, pet insurance, maternity/paternity leave, and our discount marketplace. We also offer multiple mental health resources including free EAP counseling sessions, access to Ginger®, and Talkspace®

Western Nephrology is a DRUG FREE WORKPLACE and an Equal Opportunity Employer. We provide equal employment opportunity to all qualified individuals regardless of race, color, religion, sex, age, national origin, citizenship, veteran status, disability, sexual orientation, gender identity, genetic information, or any other factor protected by applicable federal, state or local law.

About Western Nephrology:

The mission of Western Nephrology is to provide the highest quality, compassionate medical care for patients with kidney disease. The physicians and staff of Western Nephrology operate with integrity and compassion and value our relationships with patients, health partners and community. We practice medicine in the most comprehensive, evidence-based approach possible. Through collaboration, integration, innovation and use of technology we maintain our position at the forefront of evolving healthcare delivery models that improve quality of life, outcomes and cost. Our Values include:

Positive Patient Experiences: Exceed patient expectations in every encounter
Valuing People: Show compassion and respect for others
Continuous Learning: Be willing to learn, grow and accept change
Accountability: See through to completion all responsibilities and commitments
Positive Communication: Communicate in a productive and professional manner
Professionalism: Exhibit professionalism in communication, actions and work environment
Stewardship: Consider the greater good over self-interest; demonstrate integrity

Job Type: Full-time

Pay: $21.00 - $23.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

RESPONSE REQUIRED: Other than English, do you speak any languages fluently?
RESPONSE REQUIRED: Describe your referrals and prior auths experience.
RESPONSE REQUIRED: Which EMR(s) have you used recently?

Education:

High school or equivalent (Preferred)

Experience:

referrals and prior auths: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in aurora, co

Referral and Authorization Specialist (with specialty practice)

Intake & Authorizations Specialist

Prior Authorization Specialist

Admissions Specialist

Medication Access Specialist

Authorization Specialist

Biologics and Medications Insurance Specialist

Healthcare Authorization Specialist

Consumer Exp Specialist I NE PRN (Candidates Local to Colorado Only)

Release of Information Specialist - Correctional Care

Specialty Pharmacy Liaison Certified

Patient Access Acute Representative I PRN

Insurance Accounts Receivable Specialist

Patient Access Acute Representative I

Medical Billing & Follow-Up Specialist

Medical Scribe

Admissions Specialist

Medical Records Subpoena Coordinator

Pharmacy Technician Ambulatory Rheumatology

Billing/Payroll Analyst

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