Insurance Agency Professional

Insurance Specialist University of Colorado Anschutz Medical Campus Department: Department of Psychiatry Job Title: Insurance Specialist Position #: 00852772 Requisition #: 40978 Job Summary: The University of Colorado Anschutz Medical Campus has an opening for a full-time University Staff (unclassified) Insurance Specialist in the Department of Psychiatry. Clinics are located in Aurora Colorado at the School of Medicine. Programs in the various clinics include traditional psychiatric and psychological outpatient treatment; support and therapy groups, trauma care for adolescents and adults; Student Resident Mental Health; gender responsive services as well as specialty services for Women going through Cancer Therapy and Menopause. This position will report to and serve under the supervision of the Supervisor and Business Services Manager at the Department of Psychiatry. This position is responsible for managing various patient registration, revenue cycle and administrative duties for any assigned clinics. While providing those duties, they should endeavor to provide excellent customer service, leaving a positive impression on patients, providers and staff. They will be expected to perform routine insurance reviews, prior authorization requests, obtain and verify patient demographics, train clinic PSRs in all aspects of registrations, provide routine insurance updates, train insurance staff, and act as the subject matter expert for their assigned area. Additionally, this individual will be responsible for troubleshooting patient billing issues in coordination with CU Medicine. Evaluate and communicate 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, document covered and non-covered benefits, plan type, co-payments, 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.

Work as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays.

Communicate with patient access and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.

Update coding/payer guidelines for clinical staff and adheres to CU Medicine guidelines with obtaining authorization.

Track pathways and performs various other business office functions on an as needed basis.

Why Join Us: The University of Colorado Anschutz Medical Campus is a world-class medical destination at the forefront of transformative science, medicine, education and patient care. The campus encompasses the University of Colorado health professional schools, more than 60 centers and institutes, and two nationally ranked independent hospitals - UCHealth University of Colorado Hospital and Children's Hospital Colorado - that treat more than two million adult and pediatric patients each year. Innovative, interconnected and highly collaborative, the University of Colorado Anschutz Medical Campus delivers life-changing treatments, patient care and professional training and conducts world-renowned research fueled by over $650 million in research grants.

The Department of Psychiatry is one of the largest units in the UCD-SOM and is comprised of 5 Divisions. The CU Department of Psychiatry sets the standard for Education and Training of leaders in psychiatry and mental health care, conducts ground-breaking Research that aims to eradicate suffering due to psychiatric and substance use disorders, provides ready access to state of-the-art mental health preventions and interventions across the continuum of care, and collaborates with the community and other key stakeholders to promote well-being among all Coloradans. Why work for the University? We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including: Medical: Multiple plan options Dental: Multiple plan options Additional Insurance: Disability, Life, Vision Retirement 401(a) Plan: Employer contributes 10% of your gross pay Paid Time Off: Accruals over the year Vacation Days: 22/year (maximum accrual 352 hours) Sick Days: 15/year (unlimited maximum accrual) Holiday Days: 10/year Tuition Benefit: Employees have access to this benefit on all CU campuses ECO Pass: Reduced rate RTD Bus and light rail service There are many additional perks & programs with the CU Advantage.

Minimum Qualifications: 3 years of insurance verification, financial counseling, patient financial services, patient registration. Preferred Qualifications: A bachelor's degree in biological science, nursing, health, human services, psychology, counseling, social work, or a directly related field from an accredited institution. Experience using Electronic Health Record and Patient Health Information management systems. Billing and coding experience. Experience with healthcare EMR (EPIC).

Ability to communicate effectively, both in writing and orally. Outstanding customer service skills. Knowledge and understanding of insurance authorizations, EMR, eligibility software, scheduling software, scanning, and vendor systems. Ability to comply with established rules, policies and procedures and meet deadlines. Comfortable working in high volume, fast paced office environment. Proficient in Microsoft Office programs and ability to learn software programs. How to Apply: For full consideration, please submit the following document(s): 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: Samantha Martin, Samantha.edu 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 $51,360 - $61,632 The above salary range ( or 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.