Insurance Verification Representative

Summit Hospital • Frisco, CO

1d • $23 - $36

About The Position

The Insurance Verification Representative initiates and documents insurance notifications, authorizations, and reference numbers for patient services across the facilities, helping ensure compliance with insurance-carrier rules and accurate financial processing. The role obtains and records patients’ insurance coverage and benefit information in the Health Information System using reports, websites, and telephone calls to patients, payers, or providers. The representative works daily reports to meet payer-specific requirements, assists with appeals and denials, updates accounts, and serves as a subject matter expert for Revenue Cycle Associates on insurance identification and authorization.

The representative is expected to work independently and use work time productively, organize daily tasks and priorities to support the PreAccess team, and demonstrate problem-solving and critical-thinking skills. All duties must be performed with professional written and verbal communication, excellent customer service, adherence to CRISSIE values, protection of patient and employee confidentiality, and compliance with regulatory requirements such as HIPAA.

Requirements

• High school diploma or GED.
• Familiarity with medical terminology.

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 for patient services in accordance with insurance-carrier requirements.
• 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 and update accounts.
• Serve as a subject matter expert for Revenue Cycle Associates on insurance identification and authorization.
• Work independently and use work time productively and efficiently.
• Organize daily tasks and maintain priorities to meet the needs of the PreAccess team.
• Maintain patient and employee confidentiality and comply with regulatory requirements, including HIPAA.
• Demonstrate professional written and verbal communication, excellent customer service, and adherence to CRISSIE values.

Benefits

• A $400 per month Summit County housing stipend is available to eligible full-time or part-time employees who are full-time residents of Summit, Park, Eagle, Grand, Clear Creek, Lake, or Chaffee County and work at least 80% physically on-site at a CommonSpirit Mountain Region site in Summit County. PRN employees are ineligible.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED