Insurance Verification Specialist - Boulder Valley Surgery Association of BCH

Company: Boulder Community Hospital
Location: Boulder
Posted on: June 14, 2022

Job Description:

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.

POSITION SUMMARY

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.

JOB QUALIFICATIONS

Education or Formal Training

+ High School Graduate or equivalent preferred

+ Associate degree or active pursuit of advanced degree preferred.

+ Training in Medical Terminology preferred

Special Qualifications (Licensure, Registration, etc.)

+ None

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.

Experience

+ 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 squat.

+ 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 10 pounds.

+ 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 touch.

+ Fast-paced, challenging, and stressful work environment.

+ Ability to proficiently read, write and communicate effectively using English.

+ 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 Care denials.

+ Will have telephone and/or electronic communications with approximately 30 insurance carriers daily, addressing accounts per day.

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 appropriate person.

+ Maintains surgical waitlist for physicians requesting booked days and/or times.

+ The IVS is responsible for verifying insurance benefits for Commercial and Managed Care carriers for patients requiring surgical services.

+ Verifies insurance benefits for primary, secondary, and tertiary insurance plans.

+ 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 healthcare.

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