Top 38585 Medical authorization Jobs

Insurance Verification Lead - Eagle or Summit County, CO
VAIL-SUMMIT ORTHOPAEDICS PC —Edwards, CO
- $24.30 - $30.67 an hour
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Clinic
- Profit sharing
- Health savings account
Quick Apply
Compliance Specialist II
MedBen —Newark, OH
- Full-time
- Background check
- Microsoft Excel
- Writing skills
- Health insurance
- 401(k)
Quick Apply
Case Manager (RN/LPN) -(25–40 Hours/Week) WASHINGTON ONLY
Independent Clinics of Washington —Seattle, WA
- $43 - $60 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Nursing
- Health insurance
- Dental insurance
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Surgical Authorization Specialist
Western Surgical Group —Reno, NV
- $22 - $24 an hour
- Full-time
- Microsoft Excel
- Surgery
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Medical Reimbursements (Hybrid)
DJS Group —Tulsa, OK
- $18 - $20 an hour
- Full-time
- Hybrid work
- Background check
- Medical office experience
- Office
- Health insurance
- Paid time off
Quick Apply
Clinical Pharmacy Technician I | Prior Authorization | Remote | *CPhT is Required
Ventegra —Remote
- $20 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
14d
Patient Authorization Coordinator
American Health Imaging —Remote
- Full-time
- Computer literacy
- Writing skills
- HIPAA
Quick Apply
6d
Referral Coordinator - Remote
PREFERRED DERMATOLOGY —Remote
- $21 - $24 an hour
- Full-time
- Remote
- Bilingual
- Communication skills
- Entry level
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6d
Behavioral Health Physician Reviewer
Toney HealthCare Consulting, LLC —Remote
- $175 - $200 an hour
- Part-time
- Remote
- Medicine
- Psychiatry
- Senior level
Quick Apply
7d
Utilization Review Manager
Confidential —Remote
- Full-time
- Residential
- 3 years
- Analysis skills
Quick Apply
12d
Medical Insurance Authorization Specialist
West Coast DME & Supplies, LLC —Riverside, CA
- $20 - $24 an hour
- Urgently hiring
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Prior Authorization Specialist
Minneapolis Radiation Oncology, P.A. —Minneapolis, MN
- $23 - $25 an hour
- Online Application
- Hybrid work
- Mid-level
- Office
- Fair chance
- Profit sharing
- Paid holidays
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Prior Authorization Specialist - Required EPIC
Valerion Health —Remote
- Full-time
- Remote
- Microsoft Excel
- Urgent Care
- Mid-level
- Health insurance
Quick Apply
1d
Prior Authorization Specialist I
Boston Medical Center —Remote
- $25.42 - $30.97 an hour
- Part-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health insurance
- Dental insurance
1d
Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Insurance Verification Specialist
Aviary —Remote
- $21 - $22 an hour
- Full-time
- Remote
- Background check
- HIPAA
- Research
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Weekend Case Manager (Coverage and Weekend)
Guided Care —Remote
- $55,000 - $65,000 a year
- Weekends as needed
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Authorizations Coordinator
Pinnacle Home Care —Remote
- Full-time
- HIPAA
- Mid-level
- Home Health
- Referral program
Quick Apply
Associate Insurance Verification Representative
SCA Health —Remote
- $22 - $24 an hour
- Full-time
- Remote
- Customer service
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
13d

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Insurance Verification Lead - Eagle or Summit County, CO

VAIL-SUMMIT ORTHOPAEDICS PC -
Edwards, CO

Quick Apply

Job Details

Full-time
$24.30 - $30.67 an hour

Benefits

Profit sharing
Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Professional development assistance
Life insurance
Retirement plan

Qualifications

Overseeing health insurance pre-certification
Outpatient clinic experience
Medical insurance coverage verification
Team leadership
Job-specific skills training (staff training program)
Practice management software
Patient management software
Front desk
Professional development training

Full Job Description

Description:

ABOUT THE JOB:

The Insurance Verification Lead oversees front-end revenue cycle workflows that occur prior to claim submission, including insurance verification, coordination of benefits (COB), registration accuracy, financial clearance, and point-of-service collections.

This role provides oversight, standardization, training, auditing, and accountability for front-end operational workflows across VSON locations. While the position may provide occasional operational coverage, the primary focus is process ownership, workflow improvement, staff development, performance monitoring, and ensuring accurate patient intake and financial clearance processes.

The role works closely with front desk teams, operational leadership, billing partners, and clinical departments to support clean claims, reduce preventable denials, and improve patient financial workflows.

This is a full-time, Monday through Friday position from 8a -5p with a 1 hour lunch. This role can sit in our Edwards, Vail, or Frisco offices with an opportunity for some hybrid work when trained. This role will require travel to all VSON clinics and will receive paid mileage.

Priority will be given to applicants who already live in Eagle or Summit County, Colorado.

This role is eligible for Medical, Dental, and Vision benefits, employer-paid long-term disability and life insurance, an extensive PTO program, continuing education, birthday time off, 401K and profit sharing, and is eligible for the company's monthly bonus program.

This role will be open until July 1, 2026 or until filled.

CORE RESPONSIBILITIES:

Patient Registration & Insurance Capture

Establish and maintain patient registration accuracy standards across all locations.
Set and maintain clear standards for insurance card capture, insurance entry into eCW, and insurer selection.
Conduct ongoing training and accountability follow-up with front desk staff on registration standards.
Perform monthly front-end quality audits; use denial data from Synergen to identify patterns and target training.
Track and report front-end error rates; set reduction targets and monitor progress.

Eligibility Verification & COB Management

Oversee and standardize eligibility verification workflows to ensure coverage is verified prior to service.
Develop and implement a COB correction and resolution workflow, including real-time fixes and post-denial feedback loops.
Translate denial trend data from Synergen into specific front-end training actions with clear timelines.

Prior Authorization & Referral Management

Collaborate with the authorization team to ensure front-end workflows support timely and accurate authorization processing.
Verify therapy benefits and authorization units upfront for all therapy patients, including unit limits, applicable dates of service, and plan limits.
Monitor validity of existing authorizations covering continuous services (physical therapy, routine injections).
Manage referral requirements by payer; ensure referring provider information is complete and accurate at scheduling.

Patient Financial Clearance & POS Collections

Own the patient estimate and financial clearance process prior to service.
Monitor and improve point-of-service collection workflows, training, and performance metrics.
Manage hospital discounted care workflows as appropriate.
Support Synergen on unresolved patient AR issues where front-end information is needed.

Operational Liaison & Scheduling Alignment

Serve as the liaison between clinical operations and billing for front-end workflow changes — especially when payer rules change.
Ensure scheduling rules and patient access workflows support clean intake.

Reporting & Feedback Loop

- Review Synergen’s monthly front-end performance summary and implement corrective actions, workflow improvements, and staff training as needed.
Participate in the weekly RCM operating review; report on front-end metrics and action items.
Escalate persistent front-end issues to the RCM Leader and operations leadership with specific corrective action recommendations.

Requirements:

WHAT IT TAKES TO DO THE JOB:

Required

3+ years of experience in a healthcare patient access, front desk, or revenue cycle role in a physician practice or clinic setting.
Strong working knowledge of insurance verification, COB, eligibility, and prior authorization processes.
Experience training and holding staff accountable to registration and insurance capture standards.
Familiarity with payer portals and how to use them for eligibility and COB verification.
Proficiency with practice management or EHR systems (eClinicalWorks preferred).
Strong attention to detail and collaborative communication style.

Preferred

Experience in orthopedic, surgical, or multi-specialty practice settings.
Familiarity with denial reporting and root cause analysis from a vendor partner.
Experience managing prior authorization workflows for therapy and surgical services.

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

medical authorization jobs

Insurance Verification Lead - Eagle or Summit County, CO

Compliance Specialist II

Case Manager (RN/LPN) -(25–40 Hours/Week) WASHINGTON ONLY

Surgical Authorization Specialist

Medical Reimbursements (Hybrid)

Clinical Pharmacy Technician I | Prior Authorization | Remote | *CPhT is Required

Patient Authorization Coordinator

Referral Coordinator - Remote

Behavioral Health Physician Reviewer

Utilization Review Manager

Medical Insurance Authorization Specialist

Prior Authorization Specialist

Prior Authorization Specialist - Required EPIC

Prior Authorization Specialist I

Authorization Specialist - Revenue Cycle Management

Insurance Verification Specialist

Weekend Case Manager (Coverage and Weekend)

Authorizations Coordinator

Associate Insurance Verification Representative

Insurance Authorization Specialist II

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