Under limited supervision, answers, and screens high volume calls and schedules patient appointments. Registers patient’s demographics, telephone, and medication encounters. Will become remote with management approval after training is complete, but remote status can change at anytime with two-week notice.

Under the supervision of the Clinical Call Center Manager, the Prior Authorization Coordinator will be responsible for medication and procedure Prior Authorization process including Prescription Refills. Responsibilities include interviewing patients, processing documentation, obtaining authorizations, and managing correspondence with insurance companies and physicians.

This role ensures all appointment calls are answered promptly and handled professionally, managing patient registrations with attention to detail. It requires effective communication with patients, efficient scheduling of appointments, and collaboration with PT Solutions staff for smooth operations and a positive patient experience.

This role is an opportunity to contribute to the health and well-being of our Veterans by scheduling appointments, providing administrative support, and coordinating care within the Eastern Colorado Health Care System, focusing on quality care and professional development.

Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS codes from provider documentation, assigning CPT-4, ICD-10-CM codes and modifiers, researching coding/billing issues, and analyzing medical records to determine coding appropriateness.

The Medical Records Specialist I (MRS I) is responsible for maintaining, organizing, and managing patient health information in compliance with regulatory requirements and organizational policies. This role ensures the accuracy, confidentiality, and security of medical records while supporting care teams and external facilities with timely access to information.