Insurance Specialist Psychiatry
Company: University of Colorado
Location: Aurora
Posted on: May 27, 2023
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Job Description:
Insurance Specialist - Psychiatry - 29662 University Staff
Description
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.
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=https://www.cuanschutz.edu/about)
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: https://www.cu.edu/employee-services/benefits-wellness
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=https://www.cu.edu/employee-services/benefits-wellness)
.
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.
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.
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,
matthew.i.nichols@cuanschutz.edu
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=matthew.i.nichols@cuanschutz.edu)
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: http://www.cu.edu/node/153125
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=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
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=hr.adacoordinator@cuanschutz.edu)
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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:
Anschutz:
https://www.ucdenver.edu/docs/librariesprovider284/default-document-library/3000-general-admission/3012---covid-19-vaccination-requirement-and-compliance.pdf?sfvrsn=4e9df3ba_2
Unit-Specific Exemptions:
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: matthew.i.nichols@cuanschutz.edu
(https://apptrkr.com/get_redirect.php?id=4105637&targetURL=matthew.i.nichols@cuanschutz.edu)
Position Number: 00808540
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Keywords: University of Colorado, Aurora , Insurance Specialist Psychiatry, Healthcare , Aurora, Colorado
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