Insurance Verification Specialist

UnitedHealth Group • Boulder, CO

20h • Onsite

About The Position

The Insurance Verification Specialist is responsible for serving as a liaison between insurance payers, patients and providers to ensure coverage eligibility and authorizations are accurately documented in a patient’s record for hospital services. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Requirements

• High School Diploma/GED
• 1+ years of experience working within the medical field
• 1+ years of experience working with CPT Codes and ICD10 Codes

Nice To Haves

• Basic understanding of medical terminology and anatomy
• Experience in Hospital Revenue Cycle (Scheduling, Registration, Authorization, Billing, etc.)
• Epic Experience

Responsibilities

• Verify Insurance eligibility/benefits and verify/obtain authorizations in at least 2 of the following: Routine and urgent imaging exams and procedures, Surgical Procedures, Cardiology Testing and procedures, Adult and Pediatric outpatient rehabilitation, Outpatient Infusions, Notifications of Admission
• Knowledge of Insurance authorization process including, but not limited to: Which exams/procedures require prior authorization, Understand clinical information needed to initiate an authorization, Navigate payer portals and appropriately document reference numbers when initiating authorization or checking for status updates
• Accurately verify insurance coverage and eligibility for patients
• Appropriate notation of accounts to keep registration and scheduling informed on authorization status
• Warm transfer patients to correct scheduling areas if authorization is not obtained
• Resource to providers, patients and modalities through: Appropriately refer questions to clinical areas for clarification, Provide authorization status updates and cost estimates
• Keep up to date with hospital and Optum policies and procedures

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

What This Job Offers

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