Insurance Verification Representative
US-CO-Frisco
mountain-commonspirit_external
Req #: 80606
Type: Full-Time
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Overview: 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 ColoradoTM , 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. Responsibilities: $400/month Summit County housing stipend available for full time residents of Summit, Park, Eagle, Grand, Clear Creek, Lake, and Chaffee Counties. Must work at least 80% physically on-site at a CommonSpirit Mountain Region site in Summit County and full time or part time status (PRN ineligible). More details available upon offer. 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 facilities via report, web, and/or telephonic. Responsible for obtaining and documenting within the 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 CommonSpirit 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. Qualifications: In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: * High School Diploma or GED 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 10lbs force occasionally)
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