Insurance Specialist - Colorado Anschutz : Job Details

The University of Colorado Anschutz Medical Campus has an opening for a full-time University Staff Insurance Specialist in the Department of Psychiatry. Clinics are located in Aurora, Colorado, at the School of Medicine. Programs in the various clinics include traditional psychiatric and psychological outpatient treatment; support and therapy groups, trauma care for adolescents and adults; student resident mental health; gender responsive services as well as specialty services for Women going through Cancer Therapy and Menopause.

This position will report to and serve under the supervision of the Supervisor and Business Services Manager at the Department of Psychiatry. This position is responsible for managing various patient registration, revenue cycle, and administrative duties for any assigned clinics. While providing those duties, they should endeavor to provide excellent customer service, leaving a positive impression on patients, providers, and staff. They will be expected to perform routine insurance reviews, prior authorization requests, obtain and verify patient demographics, train clinic PSRs in all aspects of registrations, provide routine insurance updates, train insurance staff, and act as the subject matter expert for their assigned area. Additionally, this individual will be responsible for troubleshooting patient billing issues in coordination with CU Medicine. They will primarily focus on their assigned area but will also be expected to provide coverage to other clinical areas, as needed.

• Evaluate and communicate 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.
• Communicate with patient access and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.
• Update coding/payer guidelines for clinical staff and adheres to CU Medicine guidelines with obtaining authorization. Track pathways and performs various other business office functions on an as needed basis.
• Identifies and refers problematic workflow trends to Supervisor for evaluation and solution.

Work Location: Hybrid this role is eligible for a hybrid schedule 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.

The Department of Psychiatry is one of the largest units in the UCD-SOM and is comprised of 5 Divisions. The CU Department of Psychiatry sets the standard for Education and Training of leaders in psychiatry and mental health care, conducts ground-breaking Research that aims to eradicate suffering due to psychiatric and substance use disorders, provides ready access to state of-the-art mental health preventions and interventions across the continuum of care, and collaborates with the community and other key stakeholders to promote well-being among all Coloradans. We accomplish this vision in a manner that respects, values and advocates for the dignity and worth of each individual and family.

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.

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 experience in insurance verification, financial counseling, patient financial services, patient registration.

Applicants must meet minimum qualifications at the time of hire.

Preferred Qualifications:

• Two (2) or more years of experience in insurance verification, financial counseling, patient financial services, patient registration.
• Experience using Electronic Health Record and Patient Health Information management systems.
• Billing and coding experience.
• Experience with healthcare EMR (EPIC).

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.
• Knowledge and understanding of insurance authorizations, EMR, eligibility software, scheduling software, scanning, and vendor systems.
• Ability to use independent judgment.
• Ability to work with diverse patient population, providers, and staff.
• 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.
• Strong organizational and time management skills with attention to detail.

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

Questions should be directed to: Amy Canada, [email protected]

Screening of Applications Begins: Applications will be accepted until finalists are identified, but preference will be given to complete applications received by July 18, 2025. Those who do not apply by this date may or may not be considered.

Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $61,546 $78,286. 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.

The University of Colorado (CU) is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

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