Referral Specialist - OBGYN Family Planning Lowry

University of Colorado Anschutz Medical Campus

Department:Community Practice

Job Title:Referral Specialist OBGYN Family Planning Lowry

Position #:Requisition #: 35723

Job Summary:

The Referral Specialist is responsible for providing efficient effective quality customer service through a variety of duties including but not limited to referral management completing internal and external referral processes obtaining authorization from health plans and other Utilization Management (UM) entities for referrals. Also responsible for entering all referral and authorization information into EPIC and communicating outcomes to the patients specialists and other providers. Complies with established company policies and procedures HIPAA Privacy Rules and the University of Colorado School of Medicine Confidentiality Policy. Ensures clear and timely communication with patients colleagues and providers in a variety of clinical departments. Assists in overall department work that may include overflow from other departments and/or locations.

Key Responsibilities:

• Runs daily referral reports to create a work list and monitor referrals in place.
• Processes referrals according to departmental goals and accepted protocols including referrals from current departments and other departments as directed.
• Verifies insurance eligibility and benefits from all resources including eligibility lists or direct contact with insurance companies everification or by telephone.
• Enters referral information into EPIC using correct coding procedures.
• Documents sufficient referral detail into EPIC so it is clear what was requested what occurred what was approved and who was notified.
• Notifies patients of the referral process and authorization decisions; verifies patient understanding.
• Notifies referral provider of authorizations in a timely matter.

Work Location:

Onsite this role is expected to work onsite and is located in Denver CO.

Why Join Us:

Community Practice Medicine housed within the School of Medicine at the University of Colorado is seeking trained medical professionals to join our growing team. With clinics spanning from Longmont to Castle Rock we offer a wide variety of opportunities. Specialty areas include but are not limited to; Orthopedics Vascular Surgery OBGYN Internal Medicine Urology Psychiatry and many more!

The University of Colorado Anschutz Medical Campus is a public education clinical and research facility serving 4500 students and a worldclass medical destination at the forefront of lifechanging 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 1450 degrees annually. Powered by our awardwinning 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 haveAMAZINGbenefits and offerexceptional 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 ethnic minorities persons with disabilities persons within the LGBTQ community and all veterans. In addition the Anschutz Campus has also been recognized as an AgeFriendly University. The University of Colorado is committed to diversity and equality in education and employment.

Qualifications:

Minimum Qualifications:

• High school diploma or equivalent.
• 2 years of patient/clientfacing experience.

A combination of education and related technical/paraprofessional experience may be substituted on a yearforyear basis.

Applicants must meet the minimum qualifications at the time of hire.

Preferred Qualifications:

• Associates degree.
• Previous experience in managed care referrals.
• Previous experience with ICD10 CPT HCPCS coding and medical terminology.
• 2 years of referral experience.
• EPIC Kronos and HealthStream experience.
• MS Office experience.
• Bilingual Spanishspeaking.

Conditions of Employment:

• Must be able to work in person.
• Must be able to travel to alternate locations as assigned.

Knowledge Skills and Abilities:

• Strong organizational and personal skills; must have a strong work ethic.
• Strong communication skills both written and verbal.
• Strong knowledge of ICD10 CPT HCPCS coding and medical terminology.
• Ability to maintain a positive attitude with clients employees and management.
• Ability to work quickly individually and as part of a team.
• Ability to read analyze and interpret policies documents and regulations.
• Must be detailorientated and maintain excellent organizational skills.
• Must be tech savvy (ability to understand apply and benefit from technology).
• Must be able to use basic office equipment.

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: Gabriela Van Valkenburg

Screening of Applications Begins:

Immediately and continues until the position is filled. Best consideration will be given to those who apply within one month of the posting date.

Anticipated Pay Range:

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

$43700.

The above salary range or hiring range represents the Universitys 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/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 .

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 COVID19 virus and othervaccine 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 theoccupational health medical surveillance program.