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Denver Health · 14 hours ago

Insurance Verifier - Admissions & Registration

Denver, CO

Full-time

Onsite

Entry Level

$20.40/hr - $28.56/hr

1+ years exp

Denver Health is an integrated, high-quality academic health care system that is seeking a motivated Insurance Verifier - Admissions & Registration to join their team. The role involves collecting demographic and insurance information for timely billing, verifying payer sources, and obtaining insurance authorizations for patients.

Health CareHospitalMedical

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%)

Qualification

Insurance authorizationMedical terminologyCustomer serviceMicrosoft Office SuiteEpic familiarityInsurance conceptsTyping 25 wpmAnalytical thinkingPrioritization skillsDiverse patient relations

Required

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

Preferred

Hospital/medical office setting preferred

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