Insurance Verification - Admissions & Registration (Days)

Denver Health•Denver, CO

1d•Onsite

About The Position

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. 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, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each 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. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled. Our purpose shapes our culture and guides how we show up—for our patients, our communities, and one another. Every role at Denver Health contributes to improving lives, advancing health equity, and strengthening the communities we serve. Together, we strive to transform the health of our patients and to be the most trusted health care provider in Colorado. Our values—respect, belonging, transparency, and accountability—are the foundation of our culture and are reflected across every position, clinical and nonclinical alike. No matter where you work at Denver Health, your role has a meaningful impact on patient health—often in ways you may not even realize. We invest in our people through resources designed to support both immediate success and long-term growth. Mentorship programs, tuition assistance, and our Workforce Development Center help employees transition seamlessly into their roles while preparing for future advancement. We also lead the market with a competitive benefits package, including retirement contributions with a match of up to 9.5%. Recognizing the emotional and physical demands of many jobs in health care, we created the RESTORE Center—a leading-edge space that provides intentional peer-support, and an innovative environment designed to reduce burnout and support employee well-being. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Learn more about Denver Health.

Requirements

High School Diploma or GED required
1-3 years relevant experience in a customer-service business required
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.

Nice To Haves

Hospital/medical office setting preferred.

Responsibilities

Verifies and identifies patient payer sources and obtains insurance authorizations for patients admitted to the hospital/emergency department or referred to ancillary /specialty services.
Provides NOA to commercial payers for members who are admitted to the Denver Health.
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.
Daily review and monitoring of assigned work queue volumes.
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.
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.
Ensures correct payor is identified prior to services & provides training to Patient Access team members when needed
Coordinate peer to peer communication between clinical staff and payor

Benefits

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
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