Children’s Hospital Colorado Hiring for Insurance Verification Representative at Aurora, Colorado Full Time

Job ID69580LocationAurora, ColoradoFull/Part TimeFull-TimeRegular/TemporaryRegularWhy Work at Children’s….Here, it’s different. Come join us.Here, the nation’s brightest nurses, physicians, scientists,researchers, therapists and care providers are creating the future of childhealth. With an optimist’s outlook, a trailblazing spirit and a celebratedhistory, we’re making new strides every day.We’ve been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the nation’s top 10 pediatrichospitals by U.S. News & World Report.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,12 specialty care centers, 400+ outreach clinics and 7,000 healthcareprofessionals representing the full spectrum of pediatric care specialties.We need your expertise.A career at Children’s Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it’sdifferent. Do you have what it takes?Additional InformationDepartment: Insurance VerificationHours per week: 40, eligible for benefitsShift: Monday through Friday 8:30am to 5pmJob OverviewThe Insurance Verification Rep handles high risk insurance accounts inFinance. Verifies insurance policy benefit information and obtainsauthorization and precertification, prior to the patient’s visit ornon-scheduled admission.ResponsibilitiesPOPULATION SPECIFIC CARENo direct patient care.ESSENTIAL FUNCTIONSAn employee in this position may be called upon to do any or all of thefollowing essential functions. These examples do not include all of thefunctions which the employee may be expected to perform.Focuses on insurance accounts identified as high risk by the department.Notifies insurance company of services being rendered and obtainsauthorization if applicable; ensures notification, authorization andverification is completed for each account.Completes and obtains insurance information and referrals; verifies policyinformation and obtains detailed benefit information; codes work listaccording to departmental guidelines.Updates and edits coverage information on non-scheduled or pre-admittedpatients.Assists in identifying problems; assures insurance information andappropriate referrals have been completely and accurately obtained.Participates in peer program development.Serves as a resource for co-workers and staff.Provides customer service in person by phone or email; assists customers,patients, families, providers, and staff with insurance questions orescalationMay work in conjunction with hospital departments to solve intradepartmentalissues.Assists on special projects as assigned by the Supervisor.Other InformationCOMPETENCIESDIVERSITY & INCLUSIVITY – Is sensitive to cultural diversity, race,gender, and other individual differences in the workforce; recognizes thevalue of diverse perspectives and experiences and fosters a work environmentreflective of the community at large.BUILDING CUSTOMER LOYALTY – Meeting and exceeding internal or externalcustomer expectations while cultivating relationships that secure commitmentand trust.BUILDING PARTNERSHIPS – Developing and leveraging relationships within andacross work groups to achieve results.COMMUNICATION – Conveying information and ideas clearly and concisely toindividuals or groups in an engaging manner that helps them understand andretain the message; listening actively to others.CONTINUOUS LEARNING – Actively identifying new areas for learning; regularlycreating and taking advantage of learning opportunities; using newly gainedknowledge and skill on the job and learning through their application.DECISION MAKING – Identifying and understanding problems and opportunities bygathering, analyzing, and interpreting quantitative and qualitativeinformation; choosing the best course of action by establishing cleardecision criteria, generating and evaluating alternatives, and makin