How much does an Insurance Authorization Specialist make in Colorado? The salary range for an Insurance Authorization Specialist job is from $40,619 to $49,258 per year in Colorado. Click on the filter to check out Insurance Authorization Specialist job salaries by hourly, weekly, biweekly, semimonthly, monthly, and yearly.
For an HMO or point-of-service (POS) coverage, a written authorization from a member's primary care physician (PCP) to receive care from a different contracted doctor, specialist or facility.
December 18, 2021
The decision by a health insurance payer to approve or reject a prescribed course of treatment based on the results of a prior authorization review will affect whether a provider or pharmacy will be reimbursed for a claim and, if so, whether reimbursement will be for a full or partial amount.
December 15, 2021
If prior authorizations are just a way to “cost- control” why are they important and what is the benefit, besides increasing profits for the insurance companies? To understand this, we must delve into the various reasons why prior authorizations exist.
November 02, 2021
Providers should always keep up with the ever-changing clinical guidelines on every disease state since insurance companies also update the need for prior authorizations based on these guidelines.
December 14, 2021
Getting prior authorizations approved involves many people – primarily patients, healthcare professionals, and the patients’ health insurance companies.
December 08, 2021
Because clinical and healthcare billing systems are rarely integrated, provider staff will often start by manually reviewing prior authorization rules for the specific insurance plan associated with the patient.
December 06, 2021