Insurance Verifier - Admissions & Registration

Denver Health • Denver, CO

6d • $20 - $29

About The Position

We are recruiting for a motivated Insurance Verifier - Admissions & Registration to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. 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

• No High School Diploma and/or No 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. (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

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
• Free RTD EcoPass (public transportation)
• On-site employee fitness center and wellness classes
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education & development opportunities including career pathways and coaching
• 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

What This Job Offers

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