Referral Specialist - OBGYN East Denver
Referral Specialist - OBGYN East Denver
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$ 43700 - 51042
1 Vacancy
Job Description
University of Colorado Anschutz Medical Campus
Department:Community Practice
Job Title:Referral Specialist OBGYN East Denver
Position #:Requisition #: 36562
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 and 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 University of Colorado School of Medicine Confidentiality Policy. Ensures clear and timely communication with patients colleagues and providers in a variety of clinical department(s). 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 and verifies patient understanding
- Notifies referral provider of authorizations in a timely manner
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!
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.
Qualifications:
Minimum Qualifications:
- High school diploma or equivalent
- 1 year referral experience
- 3 years medical office experience
- Substitution: A combination of education and related technical/paraprofessional experience may be substituted on a yearforyear basis.
- Substitution: A combination of education and related technical/paraprofessional experience may be substituted on a yearforyear basis.
Preferred Qualifications:
- Associate 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:
- Current Basic Life Support (BLS) for Healthcare Providers issued by the American Heart Association or the American Red Cross healthcare provider level CPR certification
- 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 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 detailoriented 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 (only use if a cover letter is necessary)
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: Brooke Sabin
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 posting.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as
$43700 to $51042.
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: Employment Opportunity Statement:
The University of Colorado (CU) is an Equal Opportunity Employer and complies with all applicable federal state and local laws governing nondiscrimination in employment. We are committed to creating a workplacewhere all individuals are treated with respect and dignity andwe encourage individuals from all backgrounds to apply.
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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
