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Insurance Verifier – Admissions & Registration
Denver Health. Collect comprehensive demographic and insurance information to facilitate timely and accurate patient billing .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing processes, insurance authorizations, and effective communication with diverse patient populations. Proficient in utilizing insurance portals and Microsoft Office Suite to ensure accurate claims processing and patient support.
Highest-signal resume keywords
Patient BillingInsurance AuthorizationCustomer Service SkillsMedical TerminologyMicrosoft Office Suite
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Demographic CollectionInsurance VerificationCPT Code PreparationClaims ProcessingWork Queue MonitoringAuthorization RequestsInsurance Concepts KnowledgeAnatomy and Physiology KnowledgeTyping Speed of 25 WPMCritical Analytical Thinking
Soft Skills
Excellent Telephone SkillsAbility to Prioritize TasksAbility to Relate to Diverse Populations
Tools & Technologies
EpicInsurance Portals
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Hospital SettingMedical Office SettingPatient AccessPeer-to-Peer CommunicationCase Management
About the role
Key responsibilities & impact- Collect comprehensive demographic and insurance information to facilitate timely and accurate patient billing
- Verify and identify patient payer sources
- Obtain insurance authorizations for hospital/emergency department admissions and ancillary or specialty services
- Provide notification of admission (NOA) to commercial payers
- Review and respond to clinic and Case Management requests regarding benefits, eligibility, NOA completion, insurance authorization, and billing
- Serve as a subject matter expert regarding insurance payors, RTE, and RTA
- Review and monitor assigned work queue volumes daily
- Review benefits summaries with patients and explain plan information, out-of-pocket expenses, and policy limitations
- Liaise with insurance companies to coordinate timely claims processing
- Prepare accurate authorization requests, including CPT codes, medical notes, referrals, orders, and imaging
- Ensure the correct payor is identified before services
- Provide training to Patient Access team members when needed
- Coordinate peer-to-peer communication between clinical staff and payors
Requirements
What you’ll need- High School Diploma or GED required
- 1-3 years relevant experience in a customer-service business required
- Hospital/medical office setting preferred
- Ability to type 25 wpm
- Ability to prioritize and perform a multitude of duties
- Ability to relate to a diverse patient population
- Excellent telephone and customer service skills
- Critical analytical/investigative thinking skills
- Some knowledge of basic medical terminology, as well as anatomy and physiology
- Some knowledge of insurance concepts, practice, and procedures
- Proficient in Microsoft Office Suite
- Familiarity with Epic
- Familiarity with insurance portals
- All job applicants for safety-sensitive positions must pass a pre-employment drug test after a conditional offer
Benefits
Comp & perks- Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
- 100% paid parental leave up to 6 weeks
- Immediate eligibility for retirement plans with employer contribution up to 9.5%
- Generous medical, dental, vision plans
- Employer paid disability and life insurance
- Comprehensive well-being programs
- On-site employee fitness center
- Nationally recognized RESTORE Center
- Free RTD EcoPass (public transportation)
- Childcare discount programs
- Exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC)
- Professional clinical advancement program & shared governance
- Public Service Loan Forgiveness (PSLF) eligible employer
- Free student loan coaching and assistance navigating the PSLF program
- National Health Service Corps (NHCS) eligible employer
- Colorado Health Service Corps (CHSC) eligible employer