Insurance Verification Specialist at Grand River Health – Parachute, Colorado

BASIC FUNCTION: Responsible for the pre-verification of insurance for patients being admitted into Rehabilitation Services for care at our Clinic West Location in Parachute. The ideal candidate will have a certain degree of creativity and latitude, and will rely on experience and judgment to plan and accomplish goals.

RESPONSIBILITIES:

• Obtain prior authorization for Medicaid patients.
• Ensures insurance coverage by telephone, fax, or email; resolves any issues with coverage and escalates complicated issues to a supervisor or manager.
• Interviews patients and completes all paper work necessary to ensure the admitting process is efficient and all hospital district and regulatory policies are in compliance.
• Will request additional authorization for worker’s comp patients as needed.
• Additional tasks may include confirming accurate posting of daily charges, scanning all orders, insurance, and fax confirmations into Cedaron and Meditech.
• Fax initial evaluations, progress notes, and discharges to providers.
• Assists with re-registration of patients as needed during the first of each month.
• Performs a variety of tasks and other duties as assigned.

QUALIFICATIONS:

• Bachelor’s degree in area of specialty preferred.
• Current BLS certification required within 3 months of initial employment and maintained throughout employment.
• Bilingual English / Spanish preferred.
• 2 - 4 years of experience in the field or in a related area preferred.

SALARY INFORMATION:

• $20.37 - $22.13 Dependent on experience may vary outside this range
• Additional $2.00 - $4.00 an hour for additional weekend and night shifts
• Compensation may vary outside this range depending on a number of factors, including a candidate’s qualifications, skills, competencies and experience

Position is open until filled unless posted otherwise

BENEFITS:

This position offers competitive pay, being part of a very cohesive & supportive team, and year round recreation with everything the outdoor enthusiast can imagine. Our comprehensive benefits package includes:

• Medical, with prescription drug coverage
• Vision and dental insurance
• Medical and dependent care flexible spending accounts
• PTO accrual from day one
• Extended illness benefits/time off
• 457 retirement plan with match
• Life and accidental death and dismemberment insurance, disability, employee assistant programs, AFLAC, identity theft protection and pet insurance.

Clinical Excellence. Patient & Community Satisfaction. Financial Health & Stewardship of Resources.

These are our three Keys to Excellence; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day

Grand River Health proudly serves residents of Western Colorado and beyond. We are a not-for-profit Special Tax District, formed by the citizens of Western Garfield County in 1961 to serve the area’s health care needs. Our main hospital campus is located in the picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.

OUR MISSION:

To improve the health and well-being of the communities we serve.

OUR VISION:

To be our communities’ first choice in quality healthcare.