We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in-it’s something we live every day, for life’s journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

Job Summary

Under minimal supervision, collects comprehensive demographic and insurance information required for facilitating timely and accurate billing of patients presenting for services. Verifies and identifies patient payer sources and obtains insurance authorizations for patients admitted to the hospital/emergency department or referred to ancillary /specialty services. Performs the appropriate notification of admission (NOA) to payers for their members who are admitted to Denver Health for ongoing treatment and services. Documents gathered patient authorization information.


Essential Functions:

• Verifies and identifies patient payer sources and obtains insurance authorizations for patients admitted to the hospital/emergency department or referred to ancillary /specialty services. (20%)
• Provides NOA to commercial payers for members who are admitted to the Denver Health. (15%)
• Review and respond to emails or requests from clinics or the Case Management team to confirm benefits and eligibility or completion of a timely NOA, insurance authorization, and accurate billing of patients presenting for services. Serves as a subject matter expert for all departments regarding insurance payors, RTE and RTA. (15%)
• Daily review and monitoring of assigned work queue volumes. (10%)
• Reviewing benefits summary with patients to insure understanding of their plan information and required out of pocket expenses. Will also discuss any policy limitations patients may have within their specified plan. (10%)
• Liaison with insurance companies to coordinate timely processing of claims. Ensures accuracy of authorization requests including but not limited to CPT code submission, medical notes, referrals, orders, imaging as required for insurance authorization submission. (20%)
• Ensures correct payor is identified prior to services & provides training to Patient Access team members when needed (5%)
• Coordinate peer to peer communication between clinical staff and payor (5%)

Education:

• High School Diploma or GED required

Work Experience:

• 1-3 years relevant experience in a customer-service business required
• Experience may be substituted for college requirements.
• Hospital/medical office setting preferred.

Licenses:
Knowledge, Skills and Abilities:

• 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.

Schedule: 7:00am - 5:30pm, Sunday - Wednesday

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• 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 in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and 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) that support internal career growth and advancement pathways

• 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) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

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About Denver Health

Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.

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