Biologics and Medications Insurance Specialist
$22.76 - $30.1 per hourNational Jewish Health
Position Summary
Responsible for verifying insurance coverage and obtaining appropriate insurance authorizations for all scheduled biologics, infusion and other injectable medications for new and established patients. Essential Duties
None Travel
None Core Values
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset. With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.
Responsible for verifying insurance coverage and obtaining appropriate insurance authorizations for all scheduled biologics, infusion and other injectable medications for new and established patients. Essential Duties
- Serves as point of contact for authorizations and related insurance questions for all biologics, infusion and medications.
- Reviews, prioritizes and completes authorizations and referral requests of medications daily for patients. Manages tight deadlines and maintains constant communication with Clinic to ensure timely approval of services and avoid missed authorizations.
- Responsible for the identification and proper data entry of insurance demographics. Verifies specialty outpatient and inpatient insurance, both primary and secondary coverage (when applicable by service type), within set timeframes determined by Administrative Services Management. Verification includes obtaining and documenting covered and non-covered benefits, plan type, co-payment, co-insurance, out of pocket, and deductible amounts and determining contract and benefit eligibility.
- Responsible for notifying the Patient Financial Counseling Office of any significant gaps in coverage and/or high co-pays or deductibles prior to services being rendered. Coordinates drug co-pay assistance programs with Clinic and Patient Financial Counseling Office.
- Documents authorizations or denied authorizations in appropriate systems as per department protocol. Responsible for conducting clinical screening and providing all required medical information to insurance companies, as necessary to facilitate the authorization process.
- Maintains a thorough understanding of all major insurance plans and medications prescribed by National Jewish and medical terminology and coding practices.
- Educates clinical team regarding patient insurance requirements and limitations.
- Maintains communications with patients to keep them apprised of their insurance authorization and eligibility status. Acts as a problem solver with patients regarding their insurance plan.
- Coordinates the authorization appeal process for medications that are deemed not medically necessary. Refers cases requiring additional clinical review to National Jewish faculty and plan directors to ensure medications have all necessary approvals before administrating medications.
- Coordinates retroactive authorizations with medical staff, ancillary departments and insurance plans as necessary.
- Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
- Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
- Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
- Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers' and own organization's needs.
- Managing Work and Time/Project Management: Effectively managing one's time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
- Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.
None Travel
None Core Values
- Be available to work as scheduled and report to work on time.
- Be willing to accept supervision and work well with others.
- Be well groomed, appropriately for your role and wear ID Badge visibly.
- Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
- Promotes a workplace culture based on mutual respect and merit, where all individuals are treated fairly and provided with equal opportunity to contribute to the mission and goals of the institution.
- Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
- Wears appropriate PPE as outlined by the infection control policies and procedures.
- Demonstrates compliance with all state, federal and all other regulatory agency requirements.
- Education: High School Diploma or equivalent required. Associate's degree preferred.
- Work Experience: A minimum of 3 years of experience within a healthcare environment required. Experience as an LPN, Medical Assistant, or Pharmacy Technician preferred.
- Special Training, Certification or Licensure: None
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset. With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.
- Comprehensive Medical Coverage: Multiple Cigna health plans for Colorado, regional office and remote employees. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.
- Paid Time Off: Generous PTO accruals to use for vacation and sick days, and six paid holidays, all compliant with Colorado state sick leave regulations.
- Dental & Vision Plans: Coverage effective the first of the month after hire.
- Retirement Savings: 403(b) plan with employer contributions after two years.
- Wellness Incentives: Earn up to $200 annually for preventive health activities.
- Tuition Reimbursement: Up to $5,250 annually for full-time and part-time employees.
- Child Care Assistance: Childcare Flex Spending Account (FSA) with annual employer contribution.
- Loan Forgiveness: Public Service Loan Forgiveness (PSLF) eligible employer.
- Disability & Life Insurance: Employer-paid plans and optional buy-up choices.
- Voluntary Benefits: Full suite of coverage options such as Accident, Hospital Indemnity and Legal Plan
- Exclusive Discounts: Savings on local services, insurance, and RTD bus passes.
Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the Biologics and Medications Insurance Specialist in Denver, CO vacancy
$22 - $28 per hour
...Job Type Full-time Description The New Deal Insurance Specialist plays a critical role in ensuring all newly booked deals meet... ...Benefits Package For Eligible Employees Including: ~ Medical, Dental, and Vision Insurance ~ Life (Voluntary and Employer...SuggestedHourly payFull timeContract workWork at officeTranswest
Denver, CO5 days ago$57.78k - $80k
...of hard working and fun individuals, apply now! The licensed insurance professional will build relationships with new and existing... ...cross selling. Why Schomp: ~ Full suite of insurances - medical, dental, vision and life ~ Pet insurance, you read that right...SuggestedFull timeTemporary workWork experience placementLocal areaSchomp Automotive Group
Denver, CO11 hours ago- ...We're looking for a motivated sales reps who want to get their insurance sales licenses (property and casualty) to help customers with their... ...be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k)...SuggestedCasual workWork at officeLocal areaRemote workShift work
Vaco
Denver, CO5 days ago $21.63 per hour
...Recruiting Team at the time of application** A DAY IN THE LIFE of an Insurance Sales Agent The Auto Club Group is seeking prospective... ...offers excellent and comprehensive benefits packages: • Medical, dental and vision benefits • 401k Match • Paid parental...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeRelocation packageAAA Auto Club Group
Aurora, CO8 hours ago$50k
...Recruiters please. Thank you! *** Who we are: Cornerstone Insurance Agency, a division of Cornerstone Capital Bank, is a best-in-... ...recognize and reward hard work, we offer a competitive salary, Medical, Dental, Vision, , Accidental Death, Long-Term Disability, Short...SuggestedTemporary workCornerstone Capital Bank
Centennial, CO5 days ago- ...of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity. As a Health Insurance Specialist, GS-0107-13, you will serve in the Executive Support Group (ESG), protecting program integrity through rigorous FWA detection...Work at officeRelocation packageFlexible hours
Centers for Medicare & Medicaid Services
Denver, CO2 days ago - ...performance-based bonuses ~ Union Contract & Representation through OPEIU Local 277 ~ Company-Provided Life Insurance with Accidental Death Benefits (ADB) ~ Medical Insurance Reimbursement ~ Advanced Technology & Digital Resources ~ Leadership Conventions,...Weekly payContract workLocal areaRemote workWork from home
Ail
Denver, CO3 days ago - ...Regional Liaison For Flood Insurance Matters This position is located in Region 8. The ideal candidate for this position will serve as the primary regional liaison for flood insurance matters, coordinating with FEMA Headquarters, state insurance departments, and other...
US Government Jobs
Denver, CO3 days ago - ...PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Insurance Verification Specialist 2 provides insurance benefit information to patients, physicians, and hospital staff. This position ensures timely insurance...Work at officeImmediate start
Baylor Scott & White Health
Denver, CO6 days ago - ...position will serve as the primary regional liaison for flood insurance matters, coordinating with FEMA Headquarters, state insurance... ...In this position, you will serve as an Insurance Program Specialist (Outreach). Typical assignments include: Overseeing and...Full timePart timeFor contractorsWork experience placementWork at officeLocal areaRelocationFlexible hours
Federal Emergency Management Agency
Lakewood, CO9 hours ago - ...Hello Logistics Solutions Remote | Independent Contractor (1099)ATG Recruiting, a division of Hello Logistics Solutions, focuses on identifying and developing licensed Property & Casualty agents who want to specialize in commercial trucking insurance.If you are a ......For contractorsRemote work
ATG Recruiting
Westminster, CO3 days ago - ...Commercial Insurance Specialist - Hybrid Remote Compensation and Benefits: ~ Group Health, Dental, Vision, and Life Insurance for employee and dependents, with company currently contributing 100% towards base HMO or PPO coverage, with additional options available...Full timeTemporary workWork at officeRemote work
Inszone Insurance Services Inc
Greenwood Village, CO3 days ago $65k - $150k
A financial services firm in Colorado is seeking experienced and newly licensed Life Insurance Agents to join their team. This independent contractor position offers flexibility in hours and a focus on retirement-focused insurance products. Agents will present IUL and FIA...For contractorsRemote workAlvarado Financial Solutions
Denver, CO4 days ago- ...Health Insurance Specialist This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Managed Care Group (MCG). As a Health Insurance Specialist, GS-010...
- Job Duties Help Identify and develop changes to Medicaid Managed Care programs and policy or other policy areas of responsibility that are located within the division, to ensure efficiency and effectiveness of program operations. Evaluate the effectiveness of ...For contractors
- ...Insurance Specialist At Amazing Care Pediatric Outpatient Therapy, we provide exceptional care and support to children with various developmental and therapeutic needs. Our team of skilled professionals is committed to creating a nurturing environment where every child...
$210k - $390k
...Coie LLP is seeking a junior to midlevel associate to join its Insurance Recovery practice. Our Insurance Recovery practice is Chambers-... ...position is eligible for an annual discretionary bonus, 401(k) plan, medical, dental, and vision insurance, personal medical and parental...Perkins Coie
Denver, CO8 days ago$55k - $100k
...Pet Insurance Sales Associate - Denver, CO At Fetch, we're dedicated to helping pets live their healthiest and happiest lives. Our comprehensive... ...to the valuable benefits listed below. Comprehensive Medical, dental, and vision plan for you and your family Health...Full timeWork at officeFlexible hoursFetch Pet Insurance
Denver, CO9 hours ago$22.5 per hour
...Insurance Operations Specialist AutoRisk is a growing highly niched commercial independent insurance agency built on deep industry expertise. We are actively integrating AI-assisted tools into our workflows — from renewal provisioning and pre-work, policy analysis to...Hourly payFull timeRelocationMonday to FridayFlexible hoursDay shiftPIIAC
Denver, CO5 days ago- ...If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent insurance agent with HealthMarkets is an opportunity unlike any other...For contractorsSelf employment
HealthMarkets
Denver, CO2 days ago $100k
...We are partnered with a national insurance organization representing farmers and ranchers across the United States and specifically serving Colorado since 1950. With some of the best trained agents in the state, they're dedicated to providing the best in customer service...Emerge Professional
Englewood, CO9 hours ago$35k - $45k
...Job Description Job Description We are looking for an Insurance Agent to service our clients. Are you a Dave Ramsey Fan? Do you love to work with clients on the phone? Do you love working as a team on projects? Do you work well under pressure and are a...Full timeRoss Insurance Brokers Inc
Aurora, CO4 days ago$500 per day
...Job Description Job Description Are you a dynamic and driven individual looking for a rewarding career in the insurance industry? Join our team as a Licensed Final Expense Insurance Agent and represent the #1 Final Expense agency in the nation. Licensed Insurance...Immediate startCypress Memorial Insurance Services
Aurora, CO4 days ago$47k - $100k
Schedule: Full-Time Salary Range: USD $47000.00 - $100000.00 Job Category: Sales - Comparion Description Comparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a rewarding outside sales career. This role has IN OFFICE requirements. MUST...Full timeWork at officeLocal areaRemote workFlexible hoursComparion Insurance Agency
Aurora, CO2 days ago$75k - $100k
...Travel-Focused Pet Insurance Sales Associate - Denver Region Denver, CO Position Overview At Fetch, we're dedicated to helping... ...to the valuable benefits listed below. Comprehensive Medical, dental, and vision plan for you and your family Health Savings...Full timeWork at officeRelocationRelocation packageFlexible hoursFetch Pet Insurance
Denver, CO2 days ago- ...countries). Job Requirements: Holds a bachelor's degree in biological sciences, pharmacy, business, or a related field, or has... ...accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health...Full timeImmediate startWorldwideNight shift
- ...An established insurance service provider is seeking a motivated professional for a remote role in customer service. The position involves answering a high volume of inbound calls and ensuring accurate policy servicing. Candidates with at least one year of relevant insurance...Remote work
Remote Jobs
Denver, CO3 days ago $111k - $130k
...based products) Vapor-phase or liquid-phase odor scrubbers Biological odor treatment systems ~ Understanding of EPA, local, and... ...compensation package with a generous benefit package, including Medical, Dental, Vision plans, 401(k) with company contribution, paid...Work experience placementLocal area$17.29 - $20 per hour
...Insurance Agent- Sales, Customer Service Job Category: Sales Pay Range: $17.29 - $20 / hour Sign-On Bonus Opportunity of up to $1,000* Freeway Insurance offers paid time off, multiple medical plans to choose from, dental, vision, life insurance, STD/LTD and...Relocation package$19 - $20 per hour
...and businesses. Our Customer Service Specialist position gives you an opportunity to... ...go beyond the basics. This includes full medical, dental and vision coverage for you and... ...medical, dental, vision, maternity, & life Insurance ~401(k) plan with company match,...Hourly payWork at officeLocal areaOrkin
Denver, CO4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Biologics and Medications Insurance Specialist. Be the first to apply!
Related searches
- health insurance agents Denver, CO
- insurance professional Denver, CO
- insurance specialist Denver, CO
- life insurance specialist Denver, CO
- medical insurance claims specialist Denver, CO
- insurance broker Denver, CO
- life and health insurance agents Denver, CO
- insurance agents Denver, CO
- remote insurance agent Denver, CO
- healthcare insurance specialist Denver, CO