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Insurance Specialist Psychiatry

Company: University of Colorado
Location: Aurora
Posted on: May 27, 2023

Job Description:

Insurance Specialist - Psychiatry - 29662 University Staff
University of Colorado Anschutz Medical Campus
School of Medicine - Department of Psychiatry
Official Title: Health Care Professional
Working Title: Insurance Specialist - Psychiatry
Position: #00808540 - Requisition: #29662
Job Summary:
This position is responsible for managing various aspects of patients 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:

  • 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.

  • Communicate with patient access and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.

  • Provide prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered behavioral health services.

  • 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 reimbursement correspondence and filing systems.

  • Assists patient registration, answering patient calls and other duties as assigned.

    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. (
    The University of Colorado offers a comprehensive benefits package that includes health insurance, life insurance, retirement plans, tuition benefits, ECO pass, paid time off - vacation, sick, holidays and more. To see what benefits are available, please visit: ( .
    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, ethnic minorities, persons with disabilities, persons within the LGBTQ+ community and all veterans. The University of Colorado is committed to diversity and equality in education and employment.
    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.

    • One (1) year of insurance specialist experience in any aspect of the revenue cycle process in healthcare. (Patient registration, billing, prior authorizations etc.).

      Applicants must meet minimum qualifications at the time of hire.
      Preferred Qualifications:

      • 1-3 years of experience in insurance verification, financial counseling, patient financial services, patient registration.

      • Insurance verification and authorization.

      • Customer service experience a plus.

      • Billing and coding experience a plus.

      • Experience with healthcare EMR (EPIC).

        Knowledge, Skills, and Abilities:

        • Knowledge and understanding of insurance authorizations, EMR, eligibility software. Scheduling software, scanning, vendor systems.

        • Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.

        • Outstanding customer service skills.

        • Strong organizational and time management skills.

        • Excellent writing and editing skills.

        • Ability to use independent judgment.

        • Ability to work with diverse patient population, providers, and staff.

        • Ability to comply with established rules, policies and procedures and meet deadlines.

        • Ability to exercise discretion (e.g., patient confidentiality)

        • Knowledge of HIPAA regulations.

        • 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.

        • Demonstrated commitment and ability to advance diversity and inclusion.

          How to Apply:
          For full consideration, please submit the following document(s):

        • A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position.

        • Curriculum vitae / Resume

        • Three to five professional references including name, address, phone number (mobile number if appropriate), and email address.

          Questions should be directed to: Matthew Nichols, (
          Screening of Applications Begins:
          Screening of applications begins immediately and continues until position is filled.
          Anticipated Pay Range:
          The starting salary range ( or hiring range ) for this position has been established as $55,911 - $71,119.
          The above 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: (
          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 ( .
          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:
          The University of Colorado has a requirement for COVID-19 vaccinations and full completion thereof by 9/1/21 or upon start date. Information regarding this requirement, and exemptions can be found at:
          Unit-Specific Exemptions:

          • Anschutz Campus - Accommodations may be granted for medical or religious reasons.

            The University of Colorado seeks individuals with demonstrated commitment to creating an inclusive learning and working environment. We value the ability to engage effectively with students, faculty, and staff of diverse backgrounds.
            Application Materials Required: Cover Letter, Resume/CV, List of References
            Job Category : Health Care
            Primary Location : Aurora Department: U0001 -- DENVER & ANSCHUTZ MED CAMPUS - 20278 - SOM-PSYCH GENERAL OPERATIONS
            Schedule : Full-time
            Posting Date : Apr 17, 2023
            Unposting Date : Ongoing Posting Contact Name: Matthew Nichols Posting Contact Email: ( Position Number: 00808540
            Copyright 2022 Inc. All rights reserved.
            Posted by the FREE value-added recruitment advertising agency (

Keywords: University of Colorado, Aurora , Insurance Specialist Psychiatry, Healthcare , Aurora, Colorado

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