Insurance Verification Representative

CommonSpirit Health•Frisco, CO

15h

About The Position

The Insurance Verification Representative initiates and documents insurance notifications, authorizations, and reference numbers for patient services across facilities, supporting accurate financial processing and compliance with payer requirements. The role obtains and records patient coverage and benefit information through reports, websites, and telephone calls to patients, payers, or providers. The representative works daily reports, updates accounts, assists with appeals and denials, and serves as a subject matter resource for Revenue Cycle Associates on insurance identification and authorization. The position requires professional written and verbal communication, excellent customer service, attention to detail, organization, and knowledge of insurance verification, authorization processes, and payer requirements. The representative works independently, prioritizes daily tasks for the PreAccess team, uses work time efficiently, and applies problem-solving and critical-thinking skills without direct supervision. The role also requires maintaining patient and employee confidentiality and complying with regulatory requirements, including HIPAA, while demonstrating the organization’s CRISSIE values. A $400-per-month Summit County housing stipend is available to eligible full-time residents of Summit, Park, Eagle, Grand, Clear Creek, Lake, and Chaffee Counties. Recipients must work at least 80% physically on-site at a CommonSpirit Mountain Region site in Summit County and be full-time or part-time; PRN employees are ineligible. Further details are available upon offer.

Requirements

High school diploma or GED.
Familiarity with medical terminology.
Strong attention to detail and organizational skills.
Excellent written and verbal communication and customer service skills.
Knowledge of insurance verification, authorization processes, and payer requirements.
Ability to work independently, prioritize tasks, and demonstrate problem-solving and critical-thinking skills.
Ability to maintain confidentiality and comply with regulatory requirements, including HIPAA.

Nice To Haves

One to three years of healthcare experience.
Knowledge of ICD-10 and CPT coding.
Knowledge of medical registration processes and the healthcare revenue cycle.
Experience working in a healthcare clinical information system.

Responsibilities

Initiate and document insurance notifications, authorizations, and reference numbers from insurance companies for patient services in accordance with payer rules and regulations.
Obtain and document patient insurance coverage and benefit information in the Health Information System in a timely manner using reports, websites, and telephone calls.
Work daily reports to meet payer-specific requirements.
Assist with appeals and denials.
Update patient accounts.
Serve as a subject matter expert for Revenue Cycle Associates on insurance identification and authorization.
Organize daily tasks and maintain priorities to support the PreAccess team.
Work independently and use work time productively and efficiently.
Maintain patient and employee confidentiality and comply with regulatory requirements, including HIPAA.
Demonstrate professional written and verbal communication and excellent customer service.