Authorization Representative Greeley

Primary City/State:

Greeley, Colorado Department Name:

CVI-Cardiology Clinic Work Shift:

Day Job Category:

Administrative Services The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. If you're ready to change lives, we want to hear from you. Great options and opportunities. We're certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care. Apply today! We currently have a full-time opportunity working as a Authorization Representative supporting Cardiology! The preferred candidate for this position will have prior experience with medical insurance and familiarity with ICD9 and CPT codes.

Shift Details:

Monday

• Friday
• 7:30am
• 5pm

Location:

• Primary work location
• 1800 15th St. Suite 310, Greeley
• Possibility to float to our Loveland clinic location for staffing support as well If interested, apply today! At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings
• from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area.

We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.

POSITION SUMMARY

This position is responsible for obtaining and processing all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient's benefit plan.

CORE FUNCTIONS 1.

Responds to patient referrals for tests, procedures, and specialty visits. Obtains authorizations required by various payors; including verification of patient demographic information, codes, dates of service, and clinical data. Re-certifies services when necessary. 2. Authorizes and schedules appointments. Answers questions regarding the authorization process and supplies information to physicians, patients, and third party payers. May, depending on department/location, inform patients about necessary preparation for procedure or test. 3. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff and informs them of eligibility issues. Works with staff and patients regarding denials and appeals. 4. Documents and maintains records of all referral activity and authorizations. 5. Performs other related duties as assigned. This may include cross-coverage in other areas. 6. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge. Must possess effective verbal and written communication skills. Must be proficient with commonly used office software.

PREFERRED QUALIFICATIONS

One or more years of experience normally gained in a medical office or insurance environment. Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD9 and CPT codes. Additional related education and/or experience preferred.

Estimated Pay Range:

$17.67

• $26.

50 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual close date may be sooner): 2026-09-12

EEO Statement:

EEO/Disabled/Veterans Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Banner Health supports a drug-free work environment. Privacy Policy This website contains the current Banner Health job openings. Applications submitted on this site will be securely submitted for consideration. Applying via our careers website is the only way to obtain employment with Banner Health. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner's email domain, @bannerhealth.com. For questions or to report a scam visit our contact page.