Pikes Peak Hospice & Palliative Care has an immediate opening for an Insurance Specialist.

Location: Colorado Springs, CO

Status: Full-time

Schedule: Monday-Friday, 8-5

Pay Range: $22.43 - $27.93 per hour

Supplemental Pay: Based on position, schedule and/or availability: Overtime

Mileage and Expense Reimbursement: Sixty-two and a half cents per mile – one of the highest in the industry!

CULTURE, BENEFITS AND PERKS:

• We value diversity, equity and inclusion and know it matters for our team members and our patients. We provide welcoming, supportive and inclusive care to our patients and a work environment where all team members feel respected and valued.
• We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
• Low healthcare premiums: no increases in five out of the last eight years
• Employer pays over 90% of employee medical premium in some plans
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
• Healthcare Benefits are effective on the 1st of the month following date of hire
• Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave) and EIB (Extended Illness Bank): 18 days in the first year for FT team members
• Seven Paid Holidays with an additional Floating Holiday
• 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
• Company-Paid Life and AD&D Insurance
• Career & Logo wear
• Education Reimbursement Program
• Clinical Career Ladders
• Certification Pay
• Generous Discover-a-Star Team Member Referral Program
• Team Member Service Awards
• Early Wage Access
• Legal and Identity Protection
• Robust Leadership Development Training Programs

REWARDING WORK YOU WILL DO:

Responsible for obtaining verification of patient payer benefits and eligibility. Responsible for working along with the Admissions Team in the Patient Access Department to ensure patients’ coverage information is verified and accurate.

• Responsible for verifying private insurance, Medicare, or Medicaid benefits prior to patient’s admission.
• Effectively communicates patient’s financial responsibilities to Admissions team. Explains coverage to patients as appropriate.
• Communicates and ensures financial processes are followed for uninsured and under‐insured patients accessing palliative and hospice services.
• Researches, identifies, and reports to the Admissions team any prior hospice services patient may have received.
• Acts as a liaison to private insurance companies and government entities for healthcare services. Accurately documents conversations regarding client insurance information.
• Obtains prior authorization from private insurance companies. Processes insurance verification and authorization workflow within EMR; documents ongoing maintenance of authorization and re‐authorization as necessary.
• Reconciles and enters patient day count into electronic medical record to ensure benefit periods are correct and billable.
• Resolves conflicts both internal and external, seeks assistance as appropriate.

WHAT WE ARE GOING TO LOVE ABOUT YOU:

• Minimum Education: High School or equivalent combination of education and experience.
• Minimum Experience: One (1) year insurance verification, billing or receivable in hospice or healthcare environment.

PHYSICAL REQUIREMENTS:

• Ability to lift/carry a minimum of 30 lbs

Pikes Peak Hospice & Palliative Care is affiliated with Care Synergy, a nonprofit network of community-based hospice and palliative care organizations serving Colorado’s Front Range and the Region’s Largest Home Health, Hospice, and Palliative Care Network. Care Synergy provides mission support services to better equip Pikes Peak Hospice & Palliative Care to operate as a distinct and independent organization while working together to share best practices and serve more Coloradans along the Front Range.

If you need assistance completing the electronic application please contact our Talent Acquisition team via email at cs-recruitment@caresynergynetwork.org. You may also call the Human Resources Department at (303) 228-5647. Applications can be completed in-person at any one of our affiliate office locations.

The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.