Authorization Specialist & Scheduler - Denver, CO
Compensation: $28 Hourly
Schedule: 3 days a week (Monday - Friday)
Project-based with potential for full-time
Overview
Nexus HR is seeking a highly organized and detail-oriented Authorization Specialist & Scheduler to support surgical coordination and insurance authorization functions within a fast-paced ENT and Facial Plastic Surgery practice.
About the Job
The Authorization Specialist & Scheduler role is critical in driving operational efficiency, ensuring seamless patient experiences, and optimizing revenue cycle performance through accurate scheduling and timely authorizations.
Duties and Responsibilities:
Surgical Scheduling & Coordination
Schedule surgical and in-office procedures efficiently, maximizing block time utilization.
Coordinate pre- and post-operative appointments and prepare pre-op packets.
Communicate procedures, expectations, and financial responsibilities to patients.
Ensure timely follow-up on scheduling requests and patient outreach.
Act as liaison between patients, providers, and clinical teams.
Collect payments for cosmetic procedures per policy.
Insurance Authorization & Patient Access
Manage insurance verification and prior authorizations end-to-end.
Submit accurate documentation and ensure medical necessity compliance.
Track, follow up, and resolve pending, denied, or appealed authorizations.
Support patient intake, benefits review, and financial guidance.
Administrative & Operational Excellence
Maintain accurate EMR documentation and reports.
Complete tasks within 24-hour turnaround standards.
Monitor open orders and optimize workflow efficiency.
Collaborate on process improvements and ensure regulatory compliance.
Qualifications:
2+ years in surgery scheduling and/or medical authorization.
Experience in ENT, facial plastics, or specialty care preferred.
Strong knowledge of insurance workflows and EMR systems.
Highly organized with strong communication and problem-solving skills.