​Authorization Specialist & Scheduler

Authorization Specialist & Scheduler - Denver, CO

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:

• 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.

• 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.

• 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.