University of Colorado
Pre-Authorization Specialist
University of Colorado Anschutz Medical Campus, Department of Orthopedics
# Job Title: Pre-Authorization Specialist, Position #: 00803964 – Requisition #:38475
Job Summary: The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of orthotics DME precertification and preauthorization within the Department of Orthopedics. Requires strong attention to detail, accuracy, follow‑through, and independent problem‑solving to ensure timely authorization approvals and successful patient care workflows. Operates with accountability, urgency, and professionalism in a fast‑paced clinical environment.
Key Responsibilities
Manage end‑to‑end authorization workflow for DME/orthotics, including initiation, document collection, insurer follow‑up, and tracking through completion.
Submit authorizations via online portals and direct phone communication with payers.
Perform detailed benefits verification, including deductible/out‑of‑pocket amounts, coverage limitations, authorization requirements, and provider network status.
Proactively identify missing information, resolve issues, and prevent delays by partnering with providers, clinic teams, and external insurance representatives.
Track aging authorization requests and elevate barriers to prevent workflow disruption or financial loss.
Ensure timely and accurate documentation into EMR systems, including attaching required records and updating claim status.
Maintain ownership of work queue and authorization turnaround times, meeting defined productivity and accuracy expectations.
Review clinical documentation, match against ICD–10/CPT coding, and ensure accurate alignment to ordering provider documentation.
Demonstrate 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.
Serve as a knowledgeable resource for patients, providers, schedulers, and clinic staff regarding authorization status and benefit questions.
Respond to calls and messages promptly to support a high‑quality patient experience.
Collaborate with CU Medicine billing teams and assist with coordination between orthopedic providers and vendor partners.
Support onboarding and maintenance of vendor relationships and pricing structure.
Accept and process patient payments when applicable.
Support departmental quality improvement initiatives and organizational service standards.
Assist clinic operations and provider teams as necessary to support patient care and workflow efficiency.
Work Location Onsite – role to work at clinics within the Denver Metropolitan Area, including the Steadman Hawkins Inverness clinic in Englewood and the Foot and Ankle Center at Central Park.
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. From routine cases to the most complex, we treat every orthopedic condition with advanced patient care and innovation.
Benefits
Medical: Multiple plan options
Dental: Multiple plan options
Additional Insurance: Disability, Life, Vision
Retirement 401(a) Plan: Employer contributes 10% of gross pay
Paid Time Off: Accruals throughout the year
Vacation Days: 22/year (max accrual 352 hrs)
Sick Days: 15/year (unlimited accrual)
Holiday Days: 10/year
Tuition Benefit: Employees have access to all CU campuses
ECO Pass: Reduced rate RTD Bus and light rail service
Qualifications Minimum Qualifications
Bachelor’s degree in biological science, nutrition, nursing, health, human services, psychology, counseling, social work, or related field
Equivalent combination of education and experience may substitute year-for-year for bachelor’s degree requirement
One year of healthcare administration/insurance authorization experience
Preferred Qualifications
1–3 years in authorization or billing roles, preferably DME, rehabilitation, or orthopedic specialty
Knowledge of medical coding, insurance rules, and medical terminology
Experience working in EPIC or comparable EMR systems
Required Competencies
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 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 to Apply Submit a resume/CV and three to five professional references (name, address, phone, email).
Questions directed to Thomas Roller, THOMAS.ROLLER@CUANSCHUTZ.EDU.
Screening Begins Screening begins immediately and continues until January 13, 2026.
Pay Range Starting Salary: $61,546–$78,286. Additional compensation may include overtime.
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.
Background Check Statement Background investigations are conducted for all prospective employees.
Vaccination Statement CU Anschutz strongly encourages vaccination against COVID‑19 and other vaccine‑preventable diseases. Employees in certain healthcare or research roles may be required to comply with specific medical surveillance policies.
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# Job Title: Pre-Authorization Specialist, Position #: 00803964 – Requisition #:38475
Job Summary: The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of orthotics DME precertification and preauthorization within the Department of Orthopedics. Requires strong attention to detail, accuracy, follow‑through, and independent problem‑solving to ensure timely authorization approvals and successful patient care workflows. Operates with accountability, urgency, and professionalism in a fast‑paced clinical environment.
Key Responsibilities
Manage end‑to‑end authorization workflow for DME/orthotics, including initiation, document collection, insurer follow‑up, and tracking through completion.
Submit authorizations via online portals and direct phone communication with payers.
Perform detailed benefits verification, including deductible/out‑of‑pocket amounts, coverage limitations, authorization requirements, and provider network status.
Proactively identify missing information, resolve issues, and prevent delays by partnering with providers, clinic teams, and external insurance representatives.
Track aging authorization requests and elevate barriers to prevent workflow disruption or financial loss.
Ensure timely and accurate documentation into EMR systems, including attaching required records and updating claim status.
Maintain ownership of work queue and authorization turnaround times, meeting defined productivity and accuracy expectations.
Review clinical documentation, match against ICD–10/CPT coding, and ensure accurate alignment to ordering provider documentation.
Demonstrate 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.
Serve as a knowledgeable resource for patients, providers, schedulers, and clinic staff regarding authorization status and benefit questions.
Respond to calls and messages promptly to support a high‑quality patient experience.
Collaborate with CU Medicine billing teams and assist with coordination between orthopedic providers and vendor partners.
Support onboarding and maintenance of vendor relationships and pricing structure.
Accept and process patient payments when applicable.
Support departmental quality improvement initiatives and organizational service standards.
Assist clinic operations and provider teams as necessary to support patient care and workflow efficiency.
Work Location Onsite – role to work at clinics within the Denver Metropolitan Area, including the Steadman Hawkins Inverness clinic in Englewood and the Foot and Ankle Center at Central Park.
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. From routine cases to the most complex, we treat every orthopedic condition with advanced patient care and innovation.
Benefits
Medical: Multiple plan options
Dental: Multiple plan options
Additional Insurance: Disability, Life, Vision
Retirement 401(a) Plan: Employer contributes 10% of gross pay
Paid Time Off: Accruals throughout the year
Vacation Days: 22/year (max accrual 352 hrs)
Sick Days: 15/year (unlimited accrual)
Holiday Days: 10/year
Tuition Benefit: Employees have access to all CU campuses
ECO Pass: Reduced rate RTD Bus and light rail service
Qualifications Minimum Qualifications
Bachelor’s degree in biological science, nutrition, nursing, health, human services, psychology, counseling, social work, or related field
Equivalent combination of education and experience may substitute year-for-year for bachelor’s degree requirement
One year of healthcare administration/insurance authorization experience
Preferred Qualifications
1–3 years in authorization or billing roles, preferably DME, rehabilitation, or orthopedic specialty
Knowledge of medical coding, insurance rules, and medical terminology
Experience working in EPIC or comparable EMR systems
Required Competencies
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 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 to Apply Submit a resume/CV and three to five professional references (name, address, phone, email).
Questions directed to Thomas Roller, THOMAS.ROLLER@CUANSCHUTZ.EDU.
Screening Begins Screening begins immediately and continues until January 13, 2026.
Pay Range Starting Salary: $61,546–$78,286. Additional compensation may include overtime.
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.
Background Check Statement Background investigations are conducted for all prospective employees.
Vaccination Statement CU Anschutz strongly encourages vaccination against COVID‑19 and other vaccine‑preventable diseases. Employees in certain healthcare or research roles may be required to comply with specific medical surveillance policies.
#J-18808-Ljbffr