Insurance Verification - Admissions & Registration (Days)
About The Position
We are recruiting for a mission-driven Insurance Verification - Admissions & Registration (Days) to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Admissions & Registration Scvs Job 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.
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.
- Experience may be substituted for college requirements.
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. (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%)
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
