Insurance Verification Specialist - Admissions & Registration
Insurance Verification Specialist - Admissions & Registration
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Job Description
We are here for lifes journey.
Where is your life journey taking you
Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all:
Humanity in action Triumph in hardship Transformation in health.
Department
Admissions & Registration ScvsJob Summary
Under minimal supervision collects comprehensive demographic and insurance information required for facilitating timely and accurate billing of patients presenting for services. Verifies and identifies patient payer sources and obtains insurance authorizations for patients admitted to the hospital/emergency department or referred to ancillary /specialty services. Performs the appropriate notification of admission (NOA) to payers for their members who are admitted to Denver Health for ongoing treatment and services. Documents gathered patient authorization information.
Essential Functions:
- Verifies and identifies patient payer sources and obtains insurance authorizations for patients admitted to the hospital/emergency department or referred to ancillary /specialty services. (20%)
- Provides NOA to commercial payers for members who are admitted to the Denver Health. (15%)
- Review and respond to emails or requests from clinics or the Case Management team to confirm benefits and eligibility or completion of a timely NOA insurance authorization and accurate billing of patients presenting for services. Serves as a subject matter expert for all departments regarding insurance payors RTE and RTA. (15%)
- Daily review and monitoring of assigned work queue volumes. (10%)
- Reviewing benefits summary with patients to insure understanding of their plan information and required out of pocket expenses. Will also discuss any policy limitations patients may have within their specified plan. (10%)
- Liaison with insurance companies to coordinate timely processing of claims. Ensures accuracy of authorization requests including but not limited to CPT code submission medical notes referrals orders imaging as required for insurance authorization submission. (20%)
- Ensures correct payor is identified prior to services & provides training to Patient Access team members when needed (5%)
- Coordinate peer to peer communication between clinical staff and payor (5%)
Education:
- No High School Diploma and/or No GED required
Work Experience:
- 1-3 years relevant experience in a customer-service business required
- Experience may be substituted for college requirements.
- Hospital/medical office setting preferred.
Licenses:
Knowledge Skills and Abilities:
- Ability to type 25 wpm.
- Ability to prioritize and perform a multitude of duties.
- Ability to relate to a diverse patient population.
- Excellent telephone and customer service skills.
- Critical analytical/investigative thinking skills.
- Some knowledge of basic medical terminology as well as anatomy and physiology.
- Some knowledge of insurance concepts practice and procedures.
- Proficient in Microsoft Office Suite.
- Familiarity with Epic.
- Familiarity with insurance portals.
Shift
Days (United States of America)Work Type
RegularSalary
$20.00 - $27.76 / hrBenefits
Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands travel and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.
Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.
As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.
Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
