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Insurance Verification Specialist

Company: Grand River Health
Location: Rifle
Posted on: May 26, 2023

Job Description:

POSITION TITLE: Insurance Verification Specialist

DEPARTMENT: Rehabilitation Services

REPORTS TO: Rehabilitation Services Director

JOB PURPOSE: To improve the health and wellbeing of our communities.

BASIC FUNCTION: Responsible for the pre-verification of insurance for patients being admitted into Rehabilitation Services for care. Obtain prior authorization for Medicaid patients. Ensures insurance coverage by telephone, fax, or email; resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Interviews patients and completes all paper work necessary to ensure the admitting process is efficient and all hospital district and regulatory policies are in compliance. Will request additional authorization for worker's comp patients as needed. Relies on experience and judgment to plan and accomplish goals. A certain degree of creativity and latitude is expected. Additional tasks may include confirming accurate posting of daily charges, scanning all orders, insurance, and fax confirmations into Cedaron and Meditech. Also may fax initial evaluations, progress notes, and discharges to providers. Assists with re-registration of patients as needed during the first of each month. Performs a variety of tasks and other duties as assigned.


Education: Bachelor's degree in area of specialty preferred. Current BLS certification required within 3 months of initial employment and maintained throughout employment. Bilingual English / Spanish preferred.

Experience: 2 - 4 years of experience in the field or in a related area preferred.


$19.67 - $21.37 Dependent on Experience


We offer a wide range of best in class benefits. Grand River Hospital District benefits include: medical insurance with prescription drug coverage, vision and dental insurance, medical and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, disability, employee assistant programs, paid time off to cover family illness (sick time), holidays, personal business, vacation and other activities, extended illness benefits, 457 retirement plan with match, AFLAC, identity theft protection and pet insurance.

Keywords: Grand River Health, Snowmass , Insurance Verification Specialist, Other , Rifle, Colorado

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