What are the responsibilities and job description for the Insurance Specialist I position at Pikes Peak Hospice and Palliative Care?
Care Synergy has an opening for an Insurance Specialist I based out of Pikes Peak Hospice, Colorado Springs, CO.
Location: Colorado Springs, CO
Status: Full-time
Schedule: Tuesday-Saturday, 8-5
Hourly Pay Range: $21.70 - $25.50
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 engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive 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: we have not increased our team member medical rates 4 out of the last 5 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.
- Reconcile and enter 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.
- Other duties as assigned.
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
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.
Salary : $22 - $26