Insurance Verification Representative

Job Summary and Responsibilities

As our Insurance Verification Representative, you will initiate and document insurance notification, authorization, and/or reference numbers for all patients across our facilities, ensuring seamless financial processing. Every day you will obtain and document insurance coverage and benefit information using various methods (report, web, telephonic calls to patients, payers, or providers). You will work daily reports to meet payer-specific requirements, assist with appeals/denials, update accounts, and serve as a subject matter expert for other Revenue Cycle Associates on insurance identification and authorization. To be successful in this role, you will possess meticulous attention to detail, strong organizational skills, excellent communication abilities, and a deep understanding of insurance verification, authorization processes, and payer requirements to ensure financial accuracy and support the revenue cycle.

• 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.
• 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.
• Works independently to utilize all work time productively and efficiently and displays good problemsolving and critical thinking skills without direct supervision.
• Demonstrates the ability to organize daily tasks and maintain priorities to fulfill the needs of the PreAccess team.
• Must maintain patient/employee confidentiality and comply with all regulatory requirements (i.e., HIPAA).

$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.

Job Requirements

Required

• High School Diploma or GED Required
• Familiarity with medical terminology.

Preferred

• One (1) to three (3) years of healthcare experience.
• Knowledge of ICD-10 and CPT coding.
• Knowledge of medical registration processes and understanding of the healthcare revenue cycle.
• Experience working in a healthcare clinical information system.

Where You’ll Work

St. Anthony Summit Hospital is a Level III trauma center serviced by Flight For Life Colorado. We are nationally recognized as a multiple-time recipient of the Press Ganey Guardian of Excellence Award for Patient Experience, and we were named a Top 100 Hospital in the U.S. by IBM Watson Health in 2018. We also are a Pathway to Excellence-designated hospital, recognized by the American Nurses Credentialing Center as being one of the best hospitals for nurses to work. We provide a full range of medical specialties and health care services to Summit County and the surrounding region, including surgical, emergency/trauma, critical care, birth center, orthopedics, breast care, digital mammography, breast MRI, radiology and imaging, infusion therapy, nuclear medicine, cardiology, oncology, Summit Sleep Disorders Center, Ear Nose and Throat (ENT), gastroenterology and Total Joint Replacement. We proudly provide convenient care where you live, work and play - that's why visitors and residents alike can count on us for emergent and urgent medical services. In addition to 24/7, Level III emergency care at St. Anthony-Summit Hospital in Frisco, we have three emergency mountain clinics at the base of the Breckenridge, Copper Mountain and Keystone resorts, as well as urgent care and primary care available from CMG High Country Healthcare clinics in Frisco, Breckenridge and Silverthorne.