Description
University of Colorado Anschutz Medical Campus
School of Medicine | Department ofPsychiatry
Job Title:JDC IOP Insurance Specialist
Position: #00826736 – Requisition: #34664
Job Summary:
The Insurance Specialist will report to and serve under the supervision of the Business Services Manager and Program Director at the Department of Psychiatry. This position is responsible for managing various aspects of patient and administrative duties of the clinic. The Insurance Specialist will create a positive impression for each patient, family member, visitor, staff while performing tasks of, insurance review, prior authorizations, obtaining demographic information, explain financial requirements to the patient or patients representative and collect the outstanding patient portion prior to or at the point of service under minimal supervision, performs a variety of patient and clerical duties as assigned.
Key Responsibilities:
- Evaluate patient complaints and insurance issue presented to Insurance Specialists to make recommendations on the best course of action.
- Conducts regular insurance staff meetings and continues to develop best practices across all DOP clinics to increase efficiency.
- Evaluates and communicates patient’s potential financial liability directly to the patient prior to medical services being rendered based on insurance verification data and medical cost estimates.
- Obtain insurance authorization and pre-certification for behavioral health services. Includes obtaining and documenting covered and non-covered benefits, plan type, copayments, co-insurance, out of pocket, and deductible amounts and determining contract and benefit eligibility. Contact insurance companies as needed.
- Review, process and audit the medical necessity for each patient behavioral health treatment and documentation insurance authorization including review of CPT/ICD diagnosis codes.
- Work as a patient advocate and functions as a liaison between the patient and payer to answer reimbursem*nt questions and avoid insurance delays.
- Communicate with patient access and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.
- Communicate back to site on insurance update/status within 24 hours of receipt of authorization request; stat requests require same day update on insurance authorization to providers.
- Process insurance/patient correspondence, including denial follow-up. Maintain reimbursem*nt correspondence and filing systems.
- Maintain a good working knowledge of behavioral health authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. Comply with patient confidentiality laws and regulations.
Work Location:
Hybrid – this role is eligible for a hybrid schedule of 2-3 days per week on campus and as needed for in-person meetings.
Why Join Us:
The University of Colorado Anschutz Medical Campus is a public education, clinical and research facility serving 4,500 students, and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care. Read CU Anschutz Quick Facts here.
Why work for the University?
We haveAMAZINGbenefits and offerexceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including:
- Medical: Multiple plan options
- Dental: Multiple plan options
- Additional Insurance: Disability, Life, Vision
- Retirement 401(a) Plan: Employer contributes 10% of your gross pay
- Paid Time Off: Accruals over the year
- Vacation Days: 22/year (maximum accrual 352 hours)
- Sick Days: 15/year (unlimited maximum accrual)
- Holiday Days: 10/year
- Tuition Benefit: Employees have access to this benefit on all CU campuses
- ECO Pass: Reduced rate RTD Bus and light rail service
There are many additional perks & programs with the CU Advantage.
Diversity and Equity:
The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnically minoritized individuals, persons with disabilities, persons within the LGBTQ+ community and all veterans. In addition, the Anschutz Campus has also been recognized as an Age-Friendly University. The University of Colorado is committed to diversity and equality in education and employment.
Qualifications:
Minimum Qualifications:
- A bachelor’s degree in biological science, nutrition, nursing, health, human services, psychology, counseling, social work, or a directly related field from an accredited institution.
- A combination of education and related technical/paraprofessional experience may be substituted for the bachelor’s degree on a year for year basis.
Applicants must meet minimum qualifications at the time of hire.
Preferred Qualifications:
- One (1) year of experience in insurance verification, financial counseling, patient financial services, or patient registration.
- Experience with insurance verification and authorization.
- Professional level customer service experience.
- Billing and coding experience.
- Experience with healthcare EMR (EPIC).
Knowledge, Skills, and Abilities:
- Ability to communicate effectively, both in writing and orally.
- Ability to establish and maintain effective working relationships with diverse employees at all levels throughout the institution.
- Outstanding customer service skills.
- Demonstrated commitment and leadership ability to advance diversity and inclusion.
- Knowledge and understanding of insurance authorizations, EMR, eligibility software. Scheduling software, scanning, vendor systems.
- Strong leadership skills with the ability to use independent judgment.
- Ability to comply with established rules, policies and procedures and meet deadlines.
- Ability to be nonjudgmental and respectful of other’s beliefs, values, and culture.
- Knowledge of HIPAA regulations and the ability to exercise discretion (e.g. patient confidentiality).
- Comfortable working in high volume, fast paced office environment.
- Proficient in Microsoft Office programs and ability to learn software programs.
- Experience using Electronic Health Record and Patient Health Information management systems.
- Attention to detail with strong organizational and time management skills.
How to Apply:
For full consideration, please submit the following document(s):
1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position.
2. Curriculum vitae / Resume
3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address.
Questions should be directed to: Matthew Nichols, matthew.i.nichols@cuanschutz.edu
Screening of Applications Begins:
Immediately and continues until position is filled. For best consideration, apply by September 30th, 2024.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as
$56,556 – $71,939.
The above salary range (or hiring range) represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.
Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.
Total Compensation Calculator: http://www.cu.edu/node/153125
ADA Statement:
The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.
Background Check Statement:
The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.
Vaccination Statement:
CU Anschutz strongly encourages vaccination against the COVID-19 virus and othervaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in theoccupational health medical surveillance program.
Qualifications
Job Category: Health Care
Primary Location: Hybrid
Schedule: Full-time
Posting Date: Aug 23, 2024
Unposting Date: Ongoing
