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BrightSpring Health Services
Prior Authorization Specialist
Career Insights for Medical Claims Processor / Representative
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Based on Colorado data
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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
Prior Authorization Specialist BrightSpring Health Services USD $22.00/Hr. - USD $30.00/Hr. life insurance, paid time off, tuition reimbursement, 401(k), employee discount United States, Colorado, Denver Aug 29, 2026 Prior Authorization Specialist
Job Locations
US-CO-DENVER ID 2026-195693
Line of Business Amerita Position Type Full-Time Pay Min USD $22.00/Hr. Pay Max USD $30.00/Hr. Our Company Amerita Overview This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow-up of prior authorizations. This role requires working knowledge of pharmacy benefits and the prior authorization process.Schedule:
Monday - Friday 8 am-5:30 pmMST We Offer:
- Competitive Pay
- Health, Dental, Vision & Life Insurance
- Company-Paid Short & Long-Term Disability
- Flexible Schedules & Paid Time Off
- Tuition Reimbursement
- Employee Discount Program & DailyPay
- 401k
- Pet Insurance Responsibilities Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.