Lead Patient Access Specialist (Insurance Verification), Child Mental Health Clinic

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Department

Job Summary

Under minimal supervision, collects comprehensive demographic and insurance information required for facilitating timely and accurate billing of patients presenting for services at our Child Mental Health clinic. Verifies and identifies patient payer sources and obtains insurance authorizations for patients engaging in all Outpatient Behavioral Health (OBH) programs. Documents gathered patient information and communicates financial responsibility to the patient prior to receiving care in OBH programs. Is also responsible for providing excellent customer service, fostering established professional referral relationships, and assisting all OBH teams with program management tasks as needed to ensure a smooth intake process for patients, family members, and referring providers.

**Bi-lingual English/Spanish is highly desired**

Essential Functions:

• Assures completed and accurate vetting of all patients which includes timely authorizations and financial clearance. (20%)
• Collects comprehensive demographic and insurance information. Tracks and summarizes reports and presents information on a regular basis. (20%)
• Provider Support: Creates, edits, and maintains provider templates and schedules. Monitors and tracks clinic clerical efficiency through scheduling, charge entry, and registration systems. Ensure that all assigned data/tracking reports are complete and submitted in a timely manner. Specialty referrals. Complete and submit reports in a timely manner; may include sessions report, service denied report, etc. (15%)
• Clinic Operations: Monitor registration flow and phone queue. Maintain a timely and efficient charge reconciliation process. Keep up to date and involved in clinic projects/initiatives. Act as a liaison between providers, back office staff, and clerical specialists. Promote team building through participation in clinic activities and staff meetings. Directs patients/families to appropriate resources (enrollment, concern resolution, patient accounts). Assist with patient complaints. Orders forms and supplies for units, maintains inventory, and resolves supply issues. Handles service related concerns of computers and office systems. Updates and maintains clinic standard work, improves processes, searches for opportunities to eliminate waste. Support Patient Access Specialist Supervisor, Program Manager and Team Leads. Schedule and attend regular management meetings. Schedule and attend regular staff meetings (15%)
• Clerical Support: Monitor, assist, and support front desk staff with registration, scheduling, Health Information Management processes, and all other front desk operations. Manage and maintain cash handling processes and procedures. Know and instruct staff on downtime procedures. (15%)
• Monitor and manage all OBH Epic wait lists to ensure each specific wait list meets the requirements as outlined by department leadership and/or contractual/grant obligations. (15%)

Education:

• Graduation from High School or GED Certificate required.
• Two years of college and/or Associate's Degree preferred.

Work Experience:

• Three to five years relevant experience in a customer-service business required.

• Hospital/medical office setting experience preferred.

Knowledge, Skills and Abilities:

• Knowledge of data entry systems and computer skills. Knowledge of basic medical terminology.
• Telephone and reception skills. Organization and written and oral communication skills.
• Ability to prioritize and demonstrate flexibility.
• Ability to order, track and receive supplies and forms.
• Able to demonstrate professional work behavior and communication.
• Ability to make decisions within the scope of authority.
• Ability to meet deadlines.
• Ability to demonstrate excellent customer service and address patient concerns/complaints as warranted.

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program 

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver?s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado?s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit: https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion

Applicants will be considered until the position is filled.