Insurance Verification and Authorization Specialist (55306)
Pueblo, Colorado, United States · On-site
$18/hr–$20/hr
Mid level
Job DetailsJob Location: Montebello - Pueblo, CO 81001Position Type: Full TimeEducation Level: High SchoolSalary Range: $18.08 - $20.78 HourlyTravel Percentage: NegligibleJob Shift: DayHealth Solutions is a premier welln…
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$18/hr–$20/hr
Full-time
high school
Paid Holidays, Paid Time Off, Employee Assistance Program, Tuition Reimbursement, Retirement 403(b) With Employer Match, Medical Insurance
Posted 22d ago
Apply by Oct 31
~40 hrs/week
Responsibilities
Responsible for verifying patient insurance coverage, obtaining prior authorizations, and ensuring all approvals are in place before services. The role also involves providing financial counseling to clients and managing outstanding account balances.
Requirements
Requires a high school diploma and at least 3 years of relevant medical office experience with a basic understanding of billing processes. Proficiency in Windows-based programs and knowledge of payer-specific rules for Medicaid and Medicare are essential.
Full job description
Job DetailsJob Location: Montebello - Pueblo, CO 81001Position Type: Full TimeEducation Level: High SchoolSalary Range: $18.08 - $20.78 HourlyTravel Percentage: NegligibleJob Shift: DayHealth Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.
We’re hiring for a full-time Insurance Verification and Authorization Specialist to join our Revenue Cycle department at 41 Montebello Rd.
What You’ll Be Doing
You’ll be responsible for verifying patient insurance coverage, obtaining prior authorizations, and ensuring all necessary approvals are in place before services are rendered. You’ll work closely with providers, insurance companies, and patients to streamline the authorization process and support timely, accurate billing.
RESPONSIBILITIES: As an Insurance Verification & Authorization Specialist, you would report to the Director of Revenue Cycle Management and would assist clients with their insurance options, coverage, and directing them to alternative resources in the community that are available to assist them, and reporting functions.
Verifying eligibility, ensuring all insurances are active and insurance information is correct for health benefits and updating the chart with correct copay information prior to scheduling clients. Requesting authorizations when required by payers. Assist clients with completing applications for Medicaid, other insurance benefits and/or outside assistance or other community services. Ensure all appropriate forms are completed timely and accurately. Assist clients with sliding fee scale application. Provide financial counseling services to clients prior to treatment or when referred by other departments. Discuss patient financial obligations, billing practices, assess financial hardship and establish payment arrangements. Ensure that all relevant client information is recorded in the electronic health record to support proper billing of client balances. Monitor overdue accounts and proactively collect outstanding balances. Review Self-Pay accounts for collection agency submission. Provide exemplary customer service demonstrating patience and understanding while carrying out the Company’s payment policies. Maintain strict confidentiality of sensitive and protected information in accordance with HIPAA regulations. Document financial counseling process and outcome and forward applicable information to the appropriate personnel and departments. Other duties as assigned.
Physical requirements include the following
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. Occasionally lifts and carries items up to 15 pounds
What You’ll Like About Us
Competitive pay $18.08-$20.78 Hourly (Dependent on experience, certification and shift) Generous benefits package. For most positions, includes paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program
Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available. HS Funded: EAP, LifeLock, Direct Path, Life and AD&D, LTD Retirement 403(b) with employer match up to 6% Additional Insurance: FSA, Voluntary Life, Sun Life Voluntary benefits, and pet insurance Childcare Flexible work schedule
Employee recognitions and celebrations Warm and friendly work environment in which staff respect and learn from one another
Qualifications
What we’re looking For—The Must-Haves
High school diploma or equivalent required At least 3 years of relevant medical office experience and basic understanding of billing processes Practical knowledge of payer specific rules and regulations, including Medicaid and Medicare Excellent interpersonal and customer service skills Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service. Willingness to work collaboratively with multiple teams and tasks; Proficient in Windows-based computer programs and electronic charts, as well as basic office equipment Ability to multi-task and prioritize in a fast-paced setting Well-organized, self-motivated, and proficient time management Strong communication skills both verbally and in writing
What we’d Like to See in you—the Nice-to-Haves
Experience working in NextGen and MyAvatar electronic health record systems
CAAS Certification
Spanish language skills
Health Solutions expects all staff to
Adapt to change in the workplace and use change as an opportunity for innovation and creativity. Take ownership of problems, brainstorm problem resolutions, and use sound judgment in selecting solutions to problems, and demonstrate consistent follow through. Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work. Inspire and model collaborative teamwork and Human Kindness; and Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service.
Health Solutions is a non-profit integrated healthcare organization in Pueblo, Colorado. Health Solutions has been providing services in Southern Colorado since 1962. We offer a range of integrated health services in Pueblo, Huerfano and Las Animas counties in Colorado.
Health Solutions is committed to offering innovative services that set a standard for integrated healthcare in Colorado. This care is provided through service excellence, exceptional clinical quality, compassion, and promotion of self-determination.
Offices: 41 Montebello Road, Pueblo, CO 81001, US · 1012 W. Abriendo Ave., Pueblo, CO 81004, US · 41 Montebello Rd., Suite LL1, Pueblo, CO 81001, US · 1304 Chinook Ln, Pueblo, CO 81001, US · 41 Montebello Rd, Suite 116, Pueblo, CO 81001, US
Youth and Family TherapyAdult OutpatientGroup TherapyCrisis InterventionSubstance AbuseDomestic ViolenceDomestic Violence Victim's Assistanceand Integrated Healthcare
Based on 2694 listings with disclosed salaries, most healthcare jobs in Colorado pay between $62k–$150k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Colorado right now?
There are currently 10,297 open healthcare positions in Colorado listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Colorado?
Companies currently hiring include University of Colorado Department of Emergency Medicine, Denver Health, Kroger, DaVita Kidney Care, CommonSpirit Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Colorado?
Yes — 1215 of the 10297 open healthcare positions offer remote or hybrid work (364 remote, 851 hybrid).
How do I apply for Healthcare jobs in Colorado?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.