Insurance Verification Specialist - Boulder Valley Surgery Association of BCH
Company: Boulder Community Hospital
Posted on: June 14, 2022
Full Time, Days. 40 hours/week
Pay range is between $17.85/hr-$25.19/hr, depending on years of
relevant and like experience.
Boulder Community Health was recently honored as Best Local
Employer by the Daily Camera in the 2018 Boulder County Gold, their
People's Choice Awards for businesses in Boulder County. Come join
us and be a part of an independent, community-focused health system
and feel good knowing that your work will make a difference in
people's lives and be a positive contribution to the community.
The Insurance Verification Specialist (IVS) is responsible for
verifying insurance benefits for Commercial and Managed Care
carriers for patients requiring surgical services. The IVS will
obtain authorizations and pre-certifications for services from
Commercial and Managed Care carriers. The IVS is responsible for
entering insurance benefits, demographics and
pre-certification/authorization information into the patient
accounting system. The IVS is also responsible for the daily
maintenance of the surgery schedules and all aspects of the
scheduling process. This position requires problem-solving,
conflict resolution and high levels of customer service with
physician scheduling coordinators and operating room staff.
Education or Formal Training
+ High School Graduate or equivalent preferred
+ Associate degree or active pursuit of advanced degree
+ Training in Medical Terminology preferred
Special Qualifications (Licensure, Registration, etc.)
Knowledge, Skill and Ability
+ Demonstrated ability to function in a high stress environment
with constant multiple stimuli.
+ Good computer skills.
+ Competent with surgical/medical terminology preferred.
+ 3+ years health care insurance related experience preferred.
+ Background in medical terminology preferred.
MATERIALS AND EQUIPMENT DIRECTLY USED
+ Computers, Microsoft Office, copy machines, FAX, telephones,
scanners, Meditech and other technology equipment/software
WORKING ENVIRONMENT/PHYSICAL ACTIVITIES
+ Long periods of sitting and repetitive motion.
+ Working in proximity to computer terminal.
+ Visual acuity necessary to operate computer 6-7 hours daily.
+ While performing the duties of this position, the employee is
occasionally required to stoop, crouch, twist, kneel, and
+ Tolerance to high noise levels, multiple interruptions, and an
ability to meet deadlines.
+ The employee must be able to support, push, pull, and/or lift to
+ Functional physical demands include manual dexterity, fine motor
skills, and reaching. The following senses will be needed for
essential duties of the job: speech, vision, hearing, and
+ Fast-paced, challenging, and stressful work environment.
+ Ability to proficiently read, write and communicate effectively
+ Additional languages preferred.
+ Ability to interact effectively with customers of varying
educational background and temperament.
+ Projects a mature, compassionate, concierge-style customer
service attitude and professional demeanor.
+ Has access to confidential patient health information. Must be
knowledgeable and compliant with HIPAA rules and regulations.
+ Must be knowledgeable of compliance issues involved with Managed
+ Will have telephone and/or electronic communications with
approximately 30 insurance carriers daily, addressing accounts per
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Schedules surgical procedures by determining the length of time,
resources and facilities needed for each case.
+ Maintains electronic fax system, continuously reconciling and
forwarding information as needed to other departments.
+ Answers telephone, takes messages, and communicates messages to
+ Maintains surgical waitlist for physicians requesting booked days
+ The IVS is responsible for verifying insurance benefits for
Commercial and Managed Care carriers for patients requiring
+ Verifies insurance benefits for primary, secondary, and tertiary
+ Utilizes Managed Care and Insurance web sites for determining
eligibility and benefits.
+ Refers uninsured accounts to the Patient Financial Counselor.
About Boulder Community Health and Boulder, Colorado
Uncompromising medical excellence, delivered with the values of
respect and compassion. Since 1922, Boulder Community Health has
built our reputation on this promise. As a community-owned and
operated not-for-profit hospital and clinics, we remain dedicated
to meeting the evolving healthcare needs of our citizens and
providing access to high quality medical care. Our state-of-the art
facilities are home to many medical professionals who offer an
extensive range of medical services.
Nestled in the foothills of the Rocky Mountains, adventure awaits
you right outside your door. Big, beautiful vistas, serene
snow-capped mountains, and a lifestyle conducive to enjoying the
outdoors bring a truly fresh perspective to our practice of
Surround yourself by natural beauty and an active, life-embracing
community, while you enjoy state-of-the-art facilities and
equipment along with a competitive compensation and benefits
package, including health/dental/life, paid annual leave, tuition
reimbursement and much more.
EOE/Affirmative Action/Drug-free workplace
Keywords: Boulder Community Hospital, Boulder , Insurance Verification Specialist - Boulder Valley Surgery Association of BCH, Other , Boulder, Colorado
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