Insurance Specialist - Student Resident Mental Health (SRMH)

Job Summary:

The University of Colorado Anschutz Medical Campus is seeking an Insurance Specialist (full time, University Staff/Non classified) in the Department of Psychiatry.

This position will report to and serve under the supervision of the Business Services Manager and Program Director at the Department of Psychiatry. This position is responsible for managing various aspects of patient and administrative duties of the clinic. The Insurance Specialist will create a positive impression for each patient, family member, visitor, staff while performing tasks of, insurance review, prior authorizations, obtaining demographic information, explain financial requirements to the patient or patients representative and collect the outstanding patient portion prior to or at the point of service under minimal supervision, performs a variety of patient and clerical duties as assigned.

Key Responsibilities:

• Evaluate patient complaints and insurance issue presented to Insurance Specialists to make recommendations on best course of action.
• Evaluates and communicates patient's potential financial liability directly to the patient prior to medical services being rendered based on insurance verification data and medical cost estimates.
• Obtain insurance authorization and pre-certification for behavioral health services. Includes obtaining and documenting covered and non-covered benefits, plan type, co-payments, co-insurance, out of pocket, and deductible amounts and determining contract and benefit eligibility. Contact insurance companies as needed.
• Review, process, and audit the medical necessity for each patient behavioral health treatment and documentation insurance authorization including review of CPT/ICD diagnosis codes.
• Work as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays.
• Provide prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered behavioral health services.
• Other duties as assigned.

Work Location:

Hybrid - this role is eligible for a hybrid schedule of 2-3 days per week on campus and as needed for in-person meetings.

Why Join Us:

The University of Colorado Anschutz Medical Campus is a public education, clinical and research facility serving 4,500 students, and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care.

Why work for the University?

We have AMAZING benefits and offer exceptional amounts of holiday, vacation, and sick leave! The University of Colorado offers an excellent benefits package including:

• Medical: Multiple plan options
• Dental: Multiple plan options
• Additional Insurance: Disability, Life, Vision
• Retirement 401(a) Plan: Employer contributes 10% of your gross pay
• Paid Time Off: Accruals over the year
• Vacation Days: 22/year (maximum accrual 352 hours)
• Sick Days: 15/year (unlimited maximum accrual)
• Holiday Days: 10/year
• Tuition Benefit: Employees have access to this benefit on all CU campuses
• ECO Pass: Reduced rate RTD Bus and light rail service

There are many additional perks & programs with the CU Advantage.

Diversity and Equity:

The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty, and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnically minoritized individuals, persons with disabilities, persons within the LGBTQ community and all veterans. In addition, the Anschutz Campus has also been recognized as an Age-Friendly University. The University of Colorado is committed to diversity and equality in education and employment.

Qualifications:

Minimum Qualifications:

• A bachelor's degree in biological science, nursing, health, human services, psychology, counseling, social work, or a directly related field from an accredited institution.
  • A combination of education and related technical/paraprofessional experience may be substituted for the bachelor's degree on a year for year basis.
• One (1) year of professional level insurance specialist experience in any aspect of the revenue cycle process in healthcare (patient registration, billing, prior authorizations etc.).

Applicants must meet minimum qualifications at the time of hire.

Preferred Qualifications:

• Billing and coding experience.
• Experience with healthcare EMR (EPIC).
• Experience with insurance verification and authorization.
• Professional customer service experience.
• Experience using Electronic Health Record and Patient Health Information management systems.

Knowledge, Skills, and Abilities:

• Ability to communicate effectively, both in writing and orally.
• Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.
• Outstanding customer service skills.
• Demonstrated commitment and leadership ability to advance diversity and inclusion.
• Ability to use independent judgment.
• Ability to comply with established rules, policies and procedures and meet deadlines.
• Ability to be nonjudgmental and respectful of other's beliefs, values, and culture.
• Ability to exercise discretion (e.g. patient confidentiality).
• Knowledge of HIPAA regulations.
• Comfortable working in high volume, fast paced office environment.
• Proficient in Microsoft Office programs and ability to learn software programs.
• Attention to detail with strong organizational and time management skills.

How to Apply:

For full consideration, please submit the following document(s):

1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position.

2. Curriculum vitae / Resume

3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address.

Questions should be directed to: Grayson Cagle, grayson.cagle@cuanschutz.edu

Screening of Applications Begins:

Immediately and continues until position is filled. For best consideration, apply by April 1^st, 2025.

Anticipated Pay Range:

The starting salary range (or hiring range) for this position has been established as

$61,546 - $78,287.

The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Total Compensation Calculator: http://www.cu.edu/node/153125

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students, and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.