Job ID86593

LocationAurora, Colorado

Full/Part TimeFull-Time

Regular/TemporaryRegular

Why Work at Children's....

Here, it's different. Come join us. Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day. We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report. As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties. Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat. That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through o A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

Job Overview

The Insurance Verification Rep handles high risk insurance accounts in Finance.Verifies insurance policy benefit information and obtains authorization and precertification, prior to the patient's visit or non-scheduled admission.

Additional Information

Department Name: Insurance Verifications Job Status: Full time, 40 hous per week Shift: Day shift, Monday to Friday, 8:30am to 5pm, Hybrid

Qualifications

EDUCATION - High School Diploma or Equivalent EXPERIENCE - Two years of customer service required, including one year in a medical office setting.

Responsibilities

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Focuses on insurance accounts identified as high risk by the department. Notifies insurance company of services being rendered and obtains authorization if applicable; ensures notification, authorization and verification is completed for each account. Completes and obtains insurance information and referrals; verifies policy information and obtains detailed benefit information; codes work list according to departmental guidelines. Updates and edits coverage information on non-scheduled or pre-admitted patients. Assists in identifying problems; assures insurance information and appropriate referrals have been completely and accurately obtained. Participates in peer program development. Serves as a resource for co-workers and staff. Provides customer service in person by phone or email; assists customers, patients, families, providers, and staff with insurance questions or escalation May work in conjunction with hospital departments to solve intradepartmental issues. Assists on special projects as assigned by the Supervisor.

Other Information

COMPETENCIES DIVERSITY & INCLUSIVITY - Is sensitive to cultural diversity, race, gender, and other individual differences in th workforce; recognizes the value of diverse perspectives and experiences and fosters a work environment reflective of the community at large. BUILDING CUSTOMER LOYALTY - Meeting and exceeding internal or external customer expectations while cultivating relationships that secure commitment and trust. BUILDING PARTNERSHIPS - Developing and leveraging relationships within and across work groups to achieve results. COMMUNICATION - Conveying information and ideas clearly and concisely... For