Insurance Verification Representative
CommonSpirit Health Mountain Region
USD $18.00/Hr. to USD $29.46/Hr.Welcome to CommonSpirit Health Mountain Region:
CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.
CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.
Overview:
You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
Responsible for initiating and documenting insurance notification, authorization, and/or reference numbers for all patients within all of the facilities via report, web, and/or telephonic. Responsible for obtaining and documenting within the Health Information System the insurance coverage and benefit information for all patients in a timely manner via report, web and/or telephonic (this could include calls to the patient, payer or provider). Responsible for working daily reports to ensure that payor-specific requirements are met. Work directly with Business Office, provider office and Case Management personnel to assist with the follow- up on appeals, denials, answer inquiries and update accounts as necessary. Responsible for communicating with facilities, CBO, Case Management, Payor Relations, and insurance companies in timely manner on issues that arise. Serve as a subject matter expert for other Revenue Cycle Associates with relation to insurance identification, benefit and authorization requirements.
+ Must demonstrate accurate documentation electronically on account information and updates in a timely manner.
+ Must perform all duties while demonstrating strong, professional communication skills (both written and verbal) as well as excellent customer service skills, while always putting our CRISSIE values first.
+ Works independently to utilize all work time productively and efficiently and displays good problem-solving and critical thinking skills without direct supervision.
+ Demonstrates the ability to organize daily tasks and maintain priorities to fulfill the needs of the Pre-Access team.
+ Contributes to the cohesiveness of the department by identifying problems, and by participating in their resolution.
+ Actively participates in the training of new Associates and acts as a resource for other Associates who require assistance with a matter of which expertise is held.
+ Communicates with leadership in a timely manner on quality and system issues that arise.
+ Initiates and documents insurance notification, authorization and/or reference numbers from insurance companies for patient services to comply with the rules and regulations of the patient's insurance carrier.
+ Obtains and documents within the Health Information System the insurance coverage and benefit information for patients in a timely manner via report, web and/or telephone.
+ Acts as a liaison between insurance companies, case managers, Patient Financial Services, providers, patients, and registration.
+ Demonstrates appropriate use of current eligibility and authorization technologies.
+ Must maintain patient/employee confidentiality and comply with all regulatory requirements (i.e., HIPAA).
Remote/Colorado
Qualifications:
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
+ High School Diploma/G.E.D. required
+ Preferred 1-3 years Healthcare experience. Knowledge of ICD-10 and CPT coding.
+ Familiarity with medical terminology.
+ Preferred knowledge of medical registration processes and understanding of the healthcare revenue cycle.
+ Preferred experience working with Microsoft Office applications
+ Preferred experience working in a healthcare clinical information system.
Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally
Your Connected Community:
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
CommonSpirit Mountain Region’s Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics and people – including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day.
Our Total Reward Offerings:
We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer:
+ Several Medical, Dental, & Vision options.
+ Spending Accounts including a Dependent Care FSA that can include an employer contribution
+ Retirement account options with a generous employer match
+ Tuition Reimbursement
+ Student Loan Forgiveness, and so much more!
View more on our benefits HERE (https://centura.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=447276&hashed=-1090637925) .
Pay Range:
$18.00 - $29.46 / hour
Shift: Days
Everyone Thrives Here
You’re different, and we love it. Your perspectives, your ways, what you are on a mission to go and do – we’re all different, but we’re also all equally connected and supported. We are here to cultivate you in an environment which not only lifts you up but propels you forward.
We are an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. For further information about this policy contact our Office of the General Counsel at 1-303-673-8166 (TTY: 711). Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.
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