Prior Authorization Specialist

Prior Authorization Specialist (Internal title: Reimbursement Operations Pre Claim 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  will be based in our Americas head office in Lone Tree, CO. The 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 an opportunity to join the Reimbursement Operations team at the global leader in implantable hearing devices.

• Verify eligibility, investigate insurance benefits and validate coverage; calculate and collect recipient out-of-pocket estimates based on their deductible, coinsurance and out-of-pocket maximum.
• Navigate and utilize operational resources while managing orders following date and urgency prioritization workflow.
• Collect documentation based on payor requirements and medical professional preferred method.
• Evaluate medical documentation for accuracy, requirements and validity and submit to insurance for prior authorization when required.
• Communicate professionally, effectively and clearly with customers to ensure understanding and meet the customer need; engage with cross-functional business partners to support reimbursement processes, orders and customers.
• Secure in-network exceptions and negotiate one-time agreements with insurance payors in which Cochlear is non-participating.

• Bachelor’s degree or equivalent work experience.
• 2-3 years of experience ideally working with health insurance, including but not limited to: 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) and experience utilizing common office resources (phone, fax, copier and email).
• Excellent verbal and written communication skills.

Target Salary Range/Rate: $23.50 - $26.00 per hour based upon experience, as well as an annual bonus opportunity of 5% of base salary. Compensation offered may vary based on work experience, education and/or skill level. Benefit package includes medical, dental, vision, life and disability insurance as well as 401(K) matching with immediate vesting, paid time off, tuition reimbursement, maternity and paternity leave, Employee Stock Purchase Plan and pet insurance.

The physical and mental demands described below are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the individual is regularly required to be in a stationary (seated/standing) position; utilize business technology for work product delivery, communicate orally and in writing with others internal or external to the organization, utilize problem solving/critical thinking skills to discern and convey information.

May be asked to occasionally transport/move up to 30 pounds, depending on the position. Specific vision abilities required 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. Influence, organization/classification of information and planning are also required.

The work environment is a home/office environment and are representative of those an individual encounters while performing the essential functions of this job.

Apply by completing your application form online. Applicants must meet the job-specific application criteria to be considered. Visit our careers site hlear.us/careers to learn more.

Final date to receive applications:
June 21, 2026

Cochlear Americas is an Equal Opportunity Employer. We will provide reasonable accommodations for qualified individuals with disabilities. If you require accommodation with completing the online application, please contact us via web or phone at .