Insurance Customer Service Specialist

Description Compliance and Insurance Specialist needed in Valley View's Compliance department! Clinical experience in the healthcare industry is strongly desired, preferably Registered Nurse! This is a full-time, day-shift position! Supports the design, development, analysis, and continuous improvement of the Compliance, Contracts, and Insurance programs at Valley View. Supports, builds, delivers, and maintains training and educational programs for employees on compliance, insurance, and contracts. Compiles and analyzes internal and external information to prepare compliance, insurance, contract, and state‑required data and reports. Reviews policies and procedures under the Compliance department and related operational areas on a scheduled basis and as needed to maintain organizational policy compliance. Serves as the primary operational point of contact for Contract Management and Insurance programs and supports the Director of Compliance & Risk in the coordination and communication of compliance-related matters. Assists the Director of Compliance & Risk in reviewing and maintaining annual and as‑needed budget notes, documentation, and supporting materials for Compliance, Insurance, and Contract‑related activities. Stays current on industry standards, new legislation, regulatory requirements, state licensing obligations, and insurance‑related rules by participating in continuing education, reviewing professional publications, engaging with peers, and joining relevant professional groups; provides timely updates to the Director of Compliance & Risk Qualifications Bachelor’s Degree 2 plus (2+) years’ experience in related healthcare field CHC or CHPC certification preferred, or ability to obtain certification within 18 months of employment. Experience Preferred experience in federal or state regulatory or managed care compliance Clinical experience in the healthcare industry is strongly desired, preferably Registered Nurse. Skills and Attributes Thorough working knowledge of computer applications: Excel Word Outlook PowerPoint Medi Tract & Docusign experience a plus High integrity, ability to maintain confidentiality Excellent organizational skills Ability to work well both independently and with others Excellent judgment Ability to read, analyze, and interpret general business periodicals, professional journals, and technical procedures. Willingness to learn to read, analyze, and interpret government regulations and legal documents. Excellent oral and written communication skills. Ability to write clear, concise reports, business correspondence, and procedures. Ability to effectively present information and respond to inquiries from employees and medical staff as necessary. Salary Range $76,460.80 to $112,444.80/hour Entry salary dependent upon education, skill set, and experience. Benefits Medical, Dental and Vision coverage including coverage for eligible dependents Employer paid basic life coverage with buy-up coverage options Flexible Spending Account (FSA) for health care and dependent care. Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA), leaves of absence. Tuition Assistance Available Retirement Plan 401(a) Retirement Plan 403(b) plans with employer matching contributions. Employee Assistance Program Employee discount on Valley View Medical Services Employee voluntary benefits such as Discounted RFTA bus passes, discounted gym memberships, Corporate Ski passes, free car seat for new Valley View babies born or adopted by Valley View employee(s) Free Use of Sunlight and Aspen SkiCo day passes, based on availability. Loan Repayment Valley View is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! Application Submission End Date This position will be open for a minimum of three days and until a top applicant is identified. About Us Located between Aspen and Vail, along the Colorado River, Glenwood Springs is a mecca for outdoor adventures in our beautiful mountains. When you are looking to relax, we also have the largest hot springs pool in the world. As a community with a population of about 10,000, Glenwood Springs is an ideal size. Valley View Hospital offers exceptional benefits, including a robust health and dental plan; vision and life insurance; defined contribution pension plan; 403(b); and generous accrual of vacation/sick days. Relocation and other financial assistance may apply, along with many more employee perks. Mission At Valley View, our mission is to provide convenient, connected care to the communities of Western Colorado with scope, technology, and expertise that are rarely found in regional hospitals. #J-18808-Ljbffr