Insurance Verification, Referrals & Collections Specialist

We are a specialty practice seeking a full-time Insurance Verification, Referrals & Collections Specialist to join our medical billing team. The ideal candidate knows how to provide excellent customer service and will possess excellent computer skills. We are group of professionals who are passionate about our work and enjoy the fast pace and working together to succeed. This position will work ON SITE at our office in the Lowry area of Denver. This position is not a work from home position. Our business hours are Monday-Friday, 8:00 am to 5:00 pm.

All applicants that advance to the final stage of consideration for a position with our company will be required to submit to a background check.

We offer competitive pay and excellent benefits: Pay range: $19 - $23 per hour, commensurate with experience.

Medical, dental, vision, life insurance, and 401K Retirement Plan

Holiday pay, sick pay and paid time-off plan

Education Reimbursement available

Responsible for verification of insurance coverage with carriers for new and established patients in the Practice. Verify, document, and track all inbound patient referrals. Work with medical office staff, patients, and medical billers for efficient workflow. Maintain excellent customer service in all aspects of your duties and responsibilities.

Responsibilities and Duties, include but not limited to:

• Process daily electronic insurance verification batches for all patients with appointments at CKC clinics.
• Research patient accounts that no longer have eligible insurance on file and utilize insurance website portals, CORHIO, and calls to patients to determine current insurance coverage.
• Document, update, and maintain current insurance information and status for all patients in practice EHR system.
• Utilize insurance company websites to identify insurance plan referral and authorization requirements.
• Add “Alerts” to insurance plans with referral requirements in EHR system.
• Generate reports to determine which patients need referrals and authorizations for upcoming appointments in all CKC clinic locations.
• Request referrals and authorizations from referring providers’ offices and tracks responses.
• Documents all referral and authorization data in EHR system and communicates with office teams if unable to obtain referrals/authorizations within 24 hours of patient’s visit.
• Assist internal CKC billing team with answering patient calls regarding their billing accounts and statements.
• Process patient payments via phone calls with the patients and post payment details in the patient’s account.
• Process patient accounts to collection agency and communicate regularly with collection agency on open patient accounts.
  • Post patient collections payments and/or payment plans
  • Continuously update patient accounts as they move through the collections process steps.
• Process returned patient billing mail. Contact patients for updated demographic information.
• Update patient addresses and other data in EHR system; resend statements to patients as needed.
• Other duties as assigned.

Required Experience:

Essential Skills and Experience:

• Solid understanding of insurance referral requirements and insurance verification process.
• 2-3 consecutive years of strong, recent experience obtaining verifications and/or generating referrals in a medical office setting or in a payer setting.
• This is an work on-site position and not a work from home role.
• Excellent customer service and phone communication skills; must be comfortable talking with patients about their accounts and asking for payments that are due, and discussing their payment options.
• Strong follow-up and documentation skills.
• Able to organize, prioritize and multi-task in a fast-paced environment
• Knowledge of HIPAA Regulations
• Extensive experience and knowledge using insurance websites
• Minimum 1 year of experience working in an electronic health record (EHR) system.
• High level of professionalism in appearance, behavior, and communication
• Precise, clear, and professional verbal and written communication skills
• Intermediate skill level with Microsoft Word, Excel, internet and Outlook
• Ability to function at a high level of efficiency without hands-on supervision
• Exemplary work ethic and maintain a high level of organization and attention to detail
• High school diploma or GED
• Ability to work with others in a cooperative and supportive manner
• Ability to operate standard office equipment proficiently