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Referral Specialist

Expired Job

UC Health Greeley , CO 80634

Posted 3 months ago

Facility:

UCHealth

Department:

UCHlth Patient Line Referrals

Schedule:

Full-time

Shift:
1st Shift - Days

Scheduled Days & Hours:

M-F/8-5

Requisition number:
82105

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve.

As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion.

Summary

Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence.

Job duties

  • Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements.

  • Responds to third party payers, employers, internal staff, and physician questions. Maintains information on health plan guidelines.

    Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelines.

  • Ensures confidentiality of patient and institutional information. Provides routine information to customers and relays information appropriately.

  • Monitors patient needs and responds to inquiries. Prepares written reports.

Requirements

  • High School diploma or GED.
  • 3 years of medical office, managed care, or insurance experience.
  • 6 months' experience in healthcare.

Preferred Requirements

  • Associates Degree

Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy.

We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we'll do everything in our power to make sure you grow and have a meaningful career. There's no limits to your potential here.

Be Extraordinary. Join Us Today!

UCHealth system recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements.

No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.



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Referral Specialist

Expired Job

UC Health