Cochlear
hearing health care
PriorAuthorizationSpecialist
Neural analysis suggests this role is
optimal for Mid candidates.
“Prior Authorization Specialist at Cochlear. Skills: Prior Authorization, Insurance Verification, Customer Service. Verify eligibility. Investigate insurance benefits”
What You'll Achieve.
Facilitate all pre-claim activity for reimbursement orders; Providing exceptional service to internal and external customers; Provide the most efficient order process for our recipients
Industry & Context.
utilize problem solving/critical thinking skills; critical thinking; problem solving; reasoning; discernment of items such as product specifications, procedures and processes
In-person comprehensive role-based training provided, Fixed 8-hour shift schedule within business hours 8:00 a.m. – 5:00 p.m. Mountain Time, Monday through possible Saturday shift depending on business needs, Hybrid work model once training is completed and cleared by your supervisor, full in-person attendance during the initial training period, Regularly required to be in a stationary (seated/standing), Utilize business technology for work product delivery, Communicate orally and in writing with others internal or external to the organization, May be asked to occasionally transport/move up to 30 pounds, Specific vision abilities required by this job include ability to adjust focus, The individual is regularly required to utilize comprehension, critical thinking, communication, problem solving, organization reasoning, relating to others and discernment of items such as product specifications, procedures and processes to customers (whether internal or external), Influence, organization/classification of information and planning are also required, The work environment is a home/office environment
What They're Looking For.
Must Have
Bachelors or Equivalent Work Experience, 2-3 years of experience ideally working with health insurance, Insurance Verification, Prior Authorization, Coordination of Benefits, Out of Pocket cost estimate calculations, Proven ability to work collaboratively and positively in a team environment to build strong, professional relationships, Excellent computer skills (preferably in Microsoft Office), experience utilizing common office resources (phone, fax, copier and email), Excellent verbal and written communication skills
What You'll Do.
Investigate insurance benefits
Validate and collect recipient out of pocket estimates
Navigate and utilize operational resources
Manage orders following date and urgency prioritization workflow
Collect documentation based on payor requirements
Evaluate medical documentation for accuracy
Submit to insurance for prior authorization
Communicate professionally with customers
Secure in network exceptions
Negotiate one-time agreements with insurance payors
How You'll Work.
Team & Collaboration
Work collaboratively with your peers within a region setting; Develop subject matter expertise; Work with internal stakeholders in Billing and Collections, Customer Experience and other operations teams; engage with cross functional business partners to support reimbursement processes
Communication Scope
Excellent verbal and written communication skills; Communicate professionally, effectively and clearly with customers
Full Job Description
Change people’s lives and love what you do! Cochlear is the most recognized brand in hearing health care. **Prior Authorization Specialist** (Internal title: Reimbursement Operations PreClaim Specialist) **_Position Spotlight:_** * **_In-person comprehensive role-based training provided_** * ** _Fixed 8-hour shift schedule within business hours 8:00 a.m. – 5:00 p.m. Mountain Time, Monday through Friday; possible Saturday shift depending on business needs_** * ** _Hybrid work model once training is completed and cleared by your supervisor_** ** _About the role_** Change people’s lives and love what you do at Cochlear—the most recognized brand in hearing health care—helping people hear and be heard around the world, while being part of one of Denver Business Journal’s 2026 Best Places to Work honorees in Denver! In this role, you will be based in our Americas head office based in Lone Tree, CO. This role requires full in-person attendance during the initial training period and transitions to a hybrid work model based on performance, as assessed by your supervisor. If you bring experience in full-cycle prior authorization submissions and are eager to further develop your skills and advance your career, this is a fantastic opportunity to join the Reimbursement Operations team at the global leader in implantable hearing devices! Your success in this role is measured by your ability to facilitate all pre-claim activity for reimbursement orders while providing exceptional service to internal and external customers. Work collaboratively with your peers within a region setting where you will develop subject matter expertise, as well as with internal stakeholders in Billing and Collections, Customer Experience and other operations teams to provide the most efficient order process for our recipients. **_Key Responsibilities_** * Verify eligibility, investigate insurance benefits and validate coverage; calculate and collect recipient out of pocket estimates based on their deduc
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