Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
UO
University of Colorado
Pre-Authorization Specialist
Career Insights for Medical Claims Processor / Representative
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on Colorado data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$39,219 / year median in Colorado
-5% projected decline
Job Description
Pre-Authorization Specialist University of Colorado
- 4.0 Aurora, CO Job Details Full-time $51,360
- $61,632 a year 10 hours ago Benefits 401(a) Disability insurance Health insurance Dental insurance Paid time off Qualifications Employee relationship building
Full Job Description University Staff Description University of Colorado Anschutz Department:
Orthopedics Job Title:
Pre-Authorization Specialist Position #: 00803964- Requisition #: 40484
Job Summary:
The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of Durable Medical Equipment (DME) precertification and preauthorization within the Department of Orthopedics. This role requires strong attention to detail, accuracy, follow-through, and independent problem-solving to ensure timely authorization approvals and successful patient care workflows. The specialist is expected to operate with accountability, urgency, and professionalism in a fast-paced clinical environment.Key Responsibilities:
Authorization & Insurance Workflow- 75% Manage end-to-end authorization workflow for DME/orthotics/prosthetics, including initiation, document collection, insurer follow-up, and tracking through completion.
- 10% Maintain ownership of work queue and authorization turnaround times, meeting defined productivity and accuracy expectations.
ICD-10/CPT
coding, and ensure accurate alignment to ordering provider documentation. Demonstrate a continuous improvement mindset by identifying bottlenecks, suggesting solutions, and participating in process optimization efforts. Maintain compliance with HIPAA, payer requirements, billing standards, and departmental guidelines. Customer, Clinic, and Vendor Support- 10% Serve as a knowledgeable resource for patients, providers, schedulers, and clinic staff regarding authorization status and benefit questions.
- 5% Accept and process patient payments when applicable.
Work Location:
Onsite- this role is expected to work onsite and is located in Aurora, CO.
Why Join Us:
The University of Colorado, Department of Orthopedics is a recognized global leader in the field and Colorado's most trusted orthopedic group for adults and children. Our unique position at the forefront of medical science, education, and practice innovation translates in real-time to the most advanced patient care, unmatched in Colorado and the Rocky Mountain Region. From routine cases to the most complex, we treat every orthopedic condition including injuries and diseases of the bones, joints, nerves, tendons, ligaments, and muscles across many orthopedic specialties. Why work for the University? We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including:Medical:
Multiple plan optionsDental:
Multiple plan optionsAdditional Insurance:
Disability, Life, Vision Retirement 401(a)Plan:
Employer contributes 10% of your gross payPaid Time Off:
Accruals over the yearVacation Days:
22/year (maximum accrual 352 hours)Sick Days:
15/year (unlimited maximum accrual)Holiday Days:
15/yearTuition Benefit:
Employees have access to this benefit on all CU campusesECO Pass:
Reduced rate RTD Bus and light rail service There are many additional perks & programs with the CU Advantage.Qualifications:
Minimum Qualifications:
High school diploma or GED 3 years of healthcare administration or insurance authorization experience.Substitution:
A combination of related education and/or relevant experience in an occupation related to the work assigned equal to three (3) years.Preferred Qualifications :
Direct experience working in an authorization or billing roles, preferably DME, rehabilitation, or orthopedic specialty. Experience working with medical coding, insurance rules, and medical terminology. Experience working in EPIC or comparable EMR systems.Conditions of Employment:
Applicants must be legally authorized to work in the United States without requiring sponsorship. We are unable to provide work visa sponsorship or employment authorization for this position now or in the future.Knowledge, Skills and Abilities:
Strong attention to detail and accuracy — able to prevent and correct errors proactively. Demonstrated ability to independently prioritize workload and follow tasks through to completion. Critical thinking and problem-solving skills; ability to resolve issues without re-direction. Strong written and verbal communication skills. Excellent customer service and patient-centered approach. Ability to work effectively in a fast-paced environment and meet deadlines. Ability to collaborate and build positive working relationships at all levels. High degree of accountability, ownership, and reliability. Organizational skills including queue management and tracking systems. Ability to handle sensitive or emotionally charged situations professionally. Empathy and advocacy for patients. How toApply:
For full consideration, please submit the following document(s): Curriculum vitae / Resume Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address Questions should be directed to: Joel Lewis, .Screening of Applications Begins:
Screening begins immediately and continues until two weeks after date of posting.Anticipated Pay Range:
The starting salary range ( or hiring range ) for this position has been established as $51,360- 61,632 The above salary range ( or hiring range ) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
Total Compensation Calculator Equal Employment Opportunity Statement:
CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.ADA Statement:
The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at .Background Check Statement:
The University of Colorado Anschutz is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.Vaccination Statement:
CU Anschutz strongly encourages vaccination against theCOVID-19
virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.Application Materials Required :
Cover Letter, Resume/CV, List of References Job Category :
Administrative Support and Related Primary Location :
Aurora Department :
U0001- Anschutz Med Campus or Denver
- 20259
- SOM-ORTHO