Top 98 Insurance verification specialist Jobs in Colorado

Prior Authorization Specialist
Forester Family Medical Supply, Inc —Littleton, CO
- $17 - $19 an hour
- Full-time
- Spanish
- HIPAA
- English
- Dental insurance
- Vision insurance
Quick Apply
Insurance Verification & Authorization Specialist – Remote
FYZICAL LLC —Colorado Springs, CO
- $17 - $19 an hour
- Full-time
- Remote
- Microsoft Outlook
- Addiction Medicine
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Authorization Specialist/Unit Coordinator
AllHealth Network —Englewood, CO
- $75,000 - $83,000 a year
- Hybrid work
- Nursing
- Licensed Clinical Social Worker
- LPC
- Health insurance
- Dental insurance
Quick Apply
8h
Pharmacy Benefits Verification Specialist
Onco360 —Denver, CO
- From $25 an hour
- Full-time
- Hybrid work
- Basic math
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
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
10d
Customer Experience Specialist I
Origence —Greenwood Village, CO
- $23.00 - $26.59 an hour
- Full-time
- Hybrid work
- Ability to sit for extended periods
- Organizational skills
- 1 year
- Tuition reimbursement
- Paid time off
Quick Apply
Referral & Authorization Specialist - Interventional Neuroradiology
Radiology Imaging Associates —Englewood, CO
- $22.00 - $29.50 an hour
- Full-time
- Medical office experience
- HIPAA
- Research
- Profit sharing
- AD&D insurance
Quick Apply
12d
Intake Specialist
Revecore —Denver, CO
- $20 - $22 an hour
- Hybrid work
- Background check
- Spanish
- HIPAA
- Paid holidays
- Health insurance
Provider Enrollment Specialist II
Denver Health —Denver, CO
- $24.33 - $34.06 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Pass drug screening
- Paid parental leave
- Paid holidays
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
Authorization and Benefits Specialist
Atlas Physical Therapy —Denver, CO
- $23 - $25 an hour
- Full-time
- Medical office experience
- Mid-level
- Office
- Free parking
- Paid training
Quick Apply
Provider Enrollment Specialist I
Denver Health —Denver, CO
- $24.33 - $34.06 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Pass drug screening
- Paid parental leave
- Paid holidays
Healthcare Authorization Specialist
National Medical Supply, Inc. —Highlands Ranch, CO
- $20 - $22 an hour
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Insurance Authorization Specialist
PlayDate Behavioral Interventions —Colorado Springs, CO
- $20 - $24 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Patient Access Specialist - Webb
Denver Health —Denver, CO
- $21.00 - $24.93 an hour
- Full-time
- Pass drug screening
- HIPAA
- No high school diploma
- Paid parental leave
- Paid holidays
Patient Logistics Specialist
HCA HealthOne —Denver, CO
- $18.75 - $28.13 an hour
- Full-time
- Mid-level
- Organizational skills
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Denver, CO*)
Citizant Inc —Denver, CO
- $24.34 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Customer Success Specialist-CO
Novir —Centennial, CO
- $50,000 - $75,000 a year
- Marketing
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
13d
Medical Records Specialist
HCA HealthONE Sky Ridge —Lone Tree, CO
- $19.29 - $24.30 an hour
- Full-time
- Entry level
- Under 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Verification Specialist-(Data Entry)
ABC Legal Services —Dacono, CO
- $20 - $26 an hour
- Full-time
- Mid-level
- SQL
- 2 years
- AD&D insurance
- Paid holidays
Quick Apply
4d

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Prior Authorization Specialist

Forester Family Medical Supply, Inc
Littleton, CO

Quick Apply

Job Details

Full-time
$17 - $19 an hour

Benefits

Dental insurance
Vision insurance
Flexible schedule

Qualifications

High school diploma or GED

Full Job Description

Prior Authorization Representative

Company: Forester Family Medical Supply
Schedule: 32 hours per week to start, with the expectation of transitioning to 40 hours per week based on performance and business needs

Reports To: Care Team Lead and General Manager

Position Summary

Forester Family Medical Supply is seeking an organized and detail-oriented Prior Authorization Representative to coordinate authorization requests for durable medical equipment and medical supplies.

This position is responsible for reviewing patient documentation, submitting prior authorization requests, monitoring authorization statuses, and creating delivery tickets once authorizations are approved. The Prior Authorization Representative will communicate regularly with patients, caregivers, medical providers, insurance companies, and internal departments to help ensure patients receive their medically necessary equipment and supplies without unnecessary delays.

Primary Responsibilities

Review patient orders and supporting documentation for completeness and accuracy.
Confirm that prescriptions, chart notes, letters of medical necessity, and other required documents meet insurance guidelines.
Verify patient demographics, insurance eligibility, benefits, and prior authorization requirements.
Prepare and submit prior authorization requests through insurance portals, fax, email, or other required submission methods.
Monitor submitted requests and follow up on pending authorizations.
Respond promptly to requests for additional information from insurance companies or authorization review organizations.
Communicate with medical providers to obtain missing, updated, or corrected documentation.
Track authorization effective dates, expiration dates, approved quantities, and covered equipment or supplies.
Review approval notices to confirm that the authorized products, billing codes, units, service dates, and other details are correct.
Create accurate delivery tickets for approved authorizations, ensuring the correct patient information, products, quantities, billing codes, authorization details, and delivery instructions are included.
Send completed delivery tickets to the appropriate department for purchasing, preparation, scheduling, and delivery.
Communicate authorization decisions and status updates to patients, caregivers, and internal departments.
Review denial notices and identify the reason for each denial.
Assist with reconsiderations, resubmissions, and appeals when appropriate.
Maintain detailed and accurate notes regarding calls, faxes, submissions, approvals, denials, and authorization updates.
Coordinate with the intake, documentation, renewal, billing, purchasing, and logistics departments.
Escalate complex cases, repeated delays, and coverage concerns to the appropriate supervisor.
Follow all company procedures, payer requirements, and HIPAA regulations.
Assist with phone coverage and additional administrative responsibilities as needed.
Meet departmental expectations for productivity, accuracy, communication, and timely follow-up.
Perform other duties as assigned based on company needs.

Qualifications

High school diploma or equivalent required.
Previous experience with healthcare authorizations, insurance verification, medical billing, durable medical equipment, or medical administration is preferred.
Knowledge of Medicaid, Medicare, and commercial insurance requirements is preferred.
Strong attention to detail and accuracy.
Excellent organization, time-management, and follow-up skills.
Strong written and verbal communication skills.
Ability to review medical documentation and follow detailed insurance guidelines.
Comfortable communicating with patients, caregivers, medical provider offices, and insurance representatives.
Ability to manage multiple cases, deadlines, and priorities.
Basic computer skills and the ability to learn insurance portals and company systems.
Ability to work independently while also contributing to a team environment.
Dependable attendance and consistent punctuality are required.
Bilingual English and Spanish is a plus.

Schedule and Growth

This position will begin at approximately 32 hours per week, with the expectation of transitioning to a 40-hour, full-time schedule. The timing of this transition will be based on training progress, job performance, workload, and company needs.

What We’re Looking For

The successful candidate will demonstrate:

Strong attention to detail
Consistent and timely follow-through
A patient-first approach
A strong sense of urgency
Professional and positive communication
Accountability and dependability
The ability to problem-solve and research payer requirements
A willingness to learn and grow with the company

Forester Family Medical Supply is a growing, family-owned durable medical equipment provider serving pediatric and adult patients throughout Colorado. Our team works together to help patients receive the medically necessary supplies and equipment they need through compassionate, responsive, and dependable service.

Pay: $17.00 - $19.00 per hour

Benefits:

Dental insurance
Flexible schedule
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

insurance verification specialist jobs in colorado

Prior Authorization Specialist

Insurance Verification & Authorization Specialist – Remote

Authorization Specialist/Unit Coordinator

Pharmacy Benefits Verification Specialist

Biologics and Medications Insurance Specialist

Customer Experience Specialist I

Referral & Authorization Specialist - Interventional Neuroradiology

Intake Specialist

Provider Enrollment Specialist II

Insurance Accounts Receivable Specialist

Authorization and Benefits Specialist

Provider Enrollment Specialist I

Healthcare Authorization Specialist

Insurance Authorization Specialist

Patient Access Specialist - Webb

Patient Logistics Specialist

HSPD-12: Government Badging & Credentialing Specialist (Denver, CO*)

Customer Success Specialist-CO

Medical Records Specialist

Verification Specialist-(Data Entry)

I want to receive the latest job alert for insurance verification specialist in colorado

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