Insurance Verifier - Admissions & Registration (4, 10 Hour Shifts)

Denver Health; Denver (CO); On-site; USD 60,000 - 80,000; Full time

Job summary

Join a dynamic team at a leading health system in Denver as an Insurance Verifier. In this role, you'll ensure timely and accurate billing by collecting essential demographic and insurance information. You'll work closely with patients and insurance companies, providing critical support in admissions and registration. This position offers a chance to make a meaningful impact on patient care while enjoying a supportive work environment with numerous benefits, including paid time off and professional development opportunities. If you're passionate about healthcare and customer service, this is the perfect opportunity for you.

Benefits

Paid Days Off

Retirement Plan Contribution

Comprehensive Medical Plans

Free Public Transportation

On-site Fitness Center

Childcare Discounts

Tuition Reimbursement

Career Development Opportunities

Loan Forgiveness Programs

Qualifications

• 1-3 years of relevant customer service experience required.
• Knowledge of insurance concepts and procedures is essential.

Responsibilities

• Verify patient payer sources and obtain insurance authorizations.
• Coordinate communication between clinical staff and payors.

Skills

Customer Service Skills

Analytical Thinking

Medical Terminology Knowledge

Proficiency in Microsoft Office

Typing Speed (25 wpm)

Education

No High School Diploma or GED

Tools

Epic

Job description

We are recruiting for a motivated Insurance Verifier - Admissions & Registration (4, 10 Hour Shifts) 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.

Essential Functions

1. 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%)
2. Provides NOA to commercial payers for members who are admitted to Denver Health. (15%)
3. Reviews and responds 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%)
4. Daily review and monitoring of assigned work queue volumes. (10%)
5. Reviews benefits summaries with patients to ensure understanding of their plan information and required out-of-pocket expenses. Discusses any policy limitations within their plan. (10%)
6. Liaison with insurance companies to coordinate timely processing of claims. Ensures accuracy of authorization requests including CPT codes, medical notes, referrals, orders, imaging as required. (20%)
7. Ensures correct payor is identified prior to services & provides training to Patient Access team members when needed. (5%)
8. Coordinates peer-to-peer communication between clinical staff and payor. (5%)

Education

• No High School Diploma or GED required

Work Experience

• 1-3 years relevant experience in a customer-service business required
• Hospital/medical office setting preferred.

Knowledge, Skills, and Abilities

• Ability to type 25 wpm.
• Ability to prioritize and perform multiple duties.
• Ability to relate to a diverse patient population.
• Excellent telephone and customer service skills.
• Critical analytical/investigative thinking skills.
• Knowledge of basic medical terminology, anatomy, and physiology.
• Knowledge of insurance concepts, practice, and procedures.
• Proficient in Microsoft Office Suite.
• Familiarity with Epic and insurance portals.

Schedule

7:30am - 5:30pm, Tuesday - Friday

Shift

Varies (United States of America)

Work Type

Regular

Salary

$20.00 - $27.76 / hr

Benefits

• Up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and comprehensive medical plans
• Free RTD EcoPass (public transportation)
• On-site employee fitness center and wellness classes
• Childcare discounts, travel perks, and more
• Tuition reimbursement & assistance
• Career development and coaching opportunities
• Professional clinical advancement and shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer + free student loan coaching
• Eligible for NHCS and CHSC programs

Our Values

• Respect
• Belonging
• Accountability
• Transparency

Note: All safety-sensitive position applicants must pass a pre-employment drug test after a conditional offer.

Denver Health is an integrated, high-quality academic health system including a Level I Trauma Center, a 555-bed medical center, emergency response, health centers, and more. As Colorado's primary safety-net provider, we serve over 185,000 individuals annually. Located near downtown Denver, we offer vibrant cultural and recreational activities.

Denver Health is an equal opportunity employer. We value diverse talents and contributions reflecting our community's needs.

Applicants will be considered until the position is filled.