Job ID83344

　　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 healthcareexcellence for more than 100 years.Here, the nation's brightest nurses, physicians, scientists,researchers, therapists, and care providers are creating the future ofchild health. With an optimist's outlook, a trailblazing spirit, and acelebrated history, we're making new strides every day.We've been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the best of the best pediatrichospitals with #1 rankings in Colorado and the region by U.S. News & WorldReport.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,11 specialty care centers, 1,300+ outreach clinics and more than10,000 healthcare professionals representing the full spectrum of pediatriccare specialties.Here, we know it takes all of us, every role, to deliver the bestpossible 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 differentidentities and backgrounds can nurture creativity and innovation. We know wecan see, treat, and heal children better when our team reflects thediversity of our patient population. We strive to attract and retain diversetalent because we know a truly inclusive and equitable workforce will help usone day realize our most basic calling: to heal every child who comesthrough oA career at Children's Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it'sdifferent.

　　Job Overview

　　The Insurance Verification Representative Senior handles high risk insuranceaccounts in Finance and serves as a lead, coordinator or mentor. Verifiesinsurance policy benefit information and obtains authorization andprecertification, prior to the patient's visit or non-scheduled admission.

　　Additional Information

　　Department Name:Insurance VerificationJob Status: Full Time, 40 hours per weekShift: Monday to Friday 8:30 to 5:00pm Hybrid

　　Qualifications

　　EDUCATION - High School Diploma or EquivalentEXPERIENCE - Three years of customer service required, including two yearsin a medical office setting.

　　Responsibilities

　　POPULATION SPECIFIC CARENo direct patient care.ESSENTIAL FUNCTIONSAn employee in this position may be called upon to do any or all of thefollowing essential functions. These examples do not include all of thefunctions which the employee may be expected to perform.Performs lead duties within the unit as well as focuses on insurance accountsidentified as high risk by the department.Provides insurance verification training and support to the unit.Mentors and coaches co-workers; collaborates with management in order toreach goals and business outcomes.Notifies insurance company of services being rendered and obtainsauthorization if applicable; ensures notification, authorization andverification is completed for each account.Completes and obtains insurance information and referrals; verifies policyinformation and obtains detailed benefit information; codes work listaccording to departmental guidelines.Updates and edits coverage information on non-scheduled or pre-admittedpatients; coordinates reporting activitiesIdentifies problems and assures insurance information and appropriatereferrals have been completely and accurately obtained.Serves as a subject matter expert for co-workers and staff.Provides customer service in person by phone or email; assists customers,patients, families, providers, and staff with complex or escalatedinsurance questions.Works in conjuncti n with hospital departments to solve intradepartmentalissues.Assists on special projects as assigned by the Supervisor.

　　Other Information

　　COMPETENCIESDIVERSITY & INCLUSIVITY - Is sensitive to cultural diversity, race,gender, and other individual differences in the workforce; recognizes thevalue of diverse perspectives and experiences and fosters a work environmentreflective of the community at large.BUILDING CUSTOMER LOYALTY - Meeting and exceeding internal or external... Forfull info follow application link.