Top 3 Prior authorization specialist Jobs in Breckenridge, Co

Data Entry Specialist
Ascent Health —Breckenridge, CO
- $24.04 an hour
- Full-time
- Background check
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
Data Entry Specialist
Ascent Health LLC —Breckenridge, CO
- $24.04 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply

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Data Entry Specialist

Ascent Health
Breckenridge, CO

Quick Apply

Job Details

Full-time
$24.04 an hour

Benefits

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

Qualifications

Appeals
Financial data reconciliation
Medicare
Accounts receivable management
Medicare coding guidelines
MINDBODY
Overseeing healthcare denial management
Regulatory compliance in claims processing
HIPAA
Patient management software
Payment reconciliation for medical billing
High school diploma or GED
Medicaid health insurance
Medicare regulations
Electronic health record (EHR) management for billing and coding
Medical denial root cause analysis (RCA)
Health information regulatory compliance
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medical claims submission
Medicaid
Financial performance measurement
Clinical documentation standards
Insurance claims appeal handling
Healthcare coding investigations
Technical Proficiency

Full Job Description

About Us
Ascent Health is a leading provider of behavioral healthcare, specializing in outpatient mental health and substance use treatment for adults across diverse socioeconomic backgrounds. We are committed to delivering high-quality, evidence-based care, while fostering strong relationships with external collaborators and supporting our patients through every step of their treatment journey.

Position Overview
The Revenue Cycle Management Specialist (RCMS) supports the financial health of the company by ensuring the fulfillment of targeted claim processing and revenue capture benchmarks. Achievement of the identified benchmarks requires candidates occupying this role to develop and maintain a comprehensive knowledge of the full process involved in transitioning the patient encounter experience to organizational sustainability. The RCMS is essential in assuring that the resources necessary to continue patient care are regularly obtained. This involves the successful navigation of multiple systems containing patient’s protected health information, verification of third-party funding eligibility / authorization, management of claim statuses, intervening to affect positive claim outcomes, and reconciliation of claim processing activities with financial remittance reports.

Duties/Responsibilities

Oversee the submission of accurate and timely claims to payers, ensuring compliance with regulatory and contractual guidelines.
Review and correct claim errors to minimize denials and rejections.
Monitor claim status and follow up on unpaid or denied claims.
Investigate discrepancies and coordinate with payers and internal teams to resolve issues.
Prepare and submit appeals with supporting documentation as needed.
Stay updated on state and federal billing regulations (e.g., Medicare, Medicaid, HIPAA).
Ensure coding compliance (ICD-10, CPT, HCPCS) and proper documentation to support claims.
Utilize electronic health record (EHR) and practice management systems for billing and collections.
Implement process automation and technology to enhance efficiency and accuracy.
Ensure data security and privacy compliance.

Required Skills

Proficiency in medical billing and coding (ICD-10, CPT, HCPCS).
Strong understanding of insurance processes, claim submission, and reimbursement policies (Medicare, Medicaid, commercial payers).
Knowledge of electronic health records (EHR), practice management systems, and billing software (e.g., Mindbody, Healthcloud, etc).
Familiarity with HIPAA compliance and healthcare regulations.
Experience with denial management and appeals.
Ability to analyze accounts receivable (A/R) reports and identify trends in denials, payments, and outstanding claims.
Strong investigative and problem-solving skills to resolve claim issues and payment discrepancies.
Detail-oriented with a high level of accuracy in financial reconciliation and claim processing.
Understanding of revenue cycle KPIs and financial performance metrics.

Additional Benefits
Ikon and/or Epic passes will be included as a part of employment!

Schedule
Wednesday through Sunday, 10:00 AM to 7:00 PM

Locations
This role is in person at our office located in Breckenridge, CO.

Requirements/Qualifications

Preferred: Prior experience in RCM work, claim processing, billing, denial management, etc.
Ability to utilize technology at a high level
Reliable transportation.

Job Type

Full-time

Compensation

$24.04/hour

This job description is not intended to be all-inclusive and does not constitute a written or implied contract of employment. The employee may be required to perform other reasonably related duties as assigned by the supervisor or other management personnel.

Work Location: In person

Job Type: Full-time

Pay: $24.04 per hour

Expected hours: 40 per week

Benefits:

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

Ability to Relocate:

Breckenridge, CO 80424: Relocate before starting work (Required)

Work Location: In person

Quick Apply

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prior authorization specialist jobs in breckenridge, co

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Data Entry Specialist

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