About The Position

Health Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We’re hiring a full-time Insurance Verification & Authorization Supervisor to join our Finance department at 41 Montebello. What You’ll Be Doing In this role, you’ll oversee the daily operations of the Insurance Verification & Authorization team across multiple sites while guiding process improvements, developing SOPs, and establishing key performance metrics. You’ll serve as the organization’s expert on payer requirements, insurance eligibility, and financial counseling workflows—supporting staff, answering interdepartmental inquiries, and collaborating with clinical and support teams on complex cases. Additionally, you’ll ensure exceptional customer service, maintain strict confidentiality, and manage self-pay and collections processes to support accurate and efficient billing

Requirements

  • High school diploma or equivalent required
  • At least 3 years of relevant medical office experience and basic understanding of billing processes
  • Supervisory experience
  • Practical knowledge of payer specific rules and regulations, including Medicaid and Medicare
  • Excellent interpersonal and customer service skills
  • Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service.
  • Willingness to work collaboratively with multiple teams and tasks
  • Proficiency in Windows-based computer programs and electronic charts, as well as basic office equipment
  • Ability to multi-task and prioritize in a fast-paced setting
  • Well-organized, self-motivated, and proficient time management
  • Strong communication skills both verbally and in writing

Nice To Haves

  • Experience working in Netsmart’s MyAvatar and NextGen electronic health record systems
  • CAAS Certification
  • Spanish language skills
  • Health Solutions expects all staff to Adapt to change in the workplace and use change as an opportunity for innovation and creativity.
  • Take ownership of problems, brainstorm problem resolutions, and use sound judgment in selecting solutions to problems, and demonstrate consistent follow through.
  • Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work.
  • Inspire and model collaborative teamwork and Human Kindness; and Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service.
  • Must already be authorized to work in the US; sponsorships not available.

Responsibilities

  • Oversee the daily operations of the Insurance Verification & Authorization Specialist and Lead at multiple program sites
  • Conceptualizes department improvements, leading and implementing changes
  • Maintain weekly supervision with IVA Lead
  • Create SOP’s and workflow for department. Helping to establish KPIs and tracking trends
  • Provide guidance regarding payers, ledgers and requiring authorizations and verifying insurances
  • Answer interdepartmental inquiries regarding payers and eligibility
  • Manage financial counseling process and outcomes to forward applicable information to the Billing team
  • Work with Support Services and clinical departments regarding individualized payment arrangements with clients.
  • Review self-pay accounts for collection agency submission.
  • Provide exemplary customer service, demonstrating patience and understanding while carrying out the company’s payment policies.
  • Maintain strict confidentiality of sensitive and protected information in accordance with HIPAA regulations.
  • Other duties as assigned.

Benefits

  • Competitive pay $58,500 Annually (Dependent on experience, certification and shift)
  • Generous benefits package. For most positions, includes paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program
  • Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available.
  • HS Funded: EAP, LifeLock, Direct Path, Life and AD&D, LTD
  • Retirement 403(b) with employer match up to 6%
  • Additional Insurance: FSA, Voluntary Life, Sun Life Voluntary benefits, and pet insurance
  • Childcare
  • Flexible work schedule
  • Employee recognitions and celebrations
  • Warm and friendly work environment in which staff respect and learn from one another

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Education Level

High school or GED

Number of Employees

101-250 employees

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