Referral Specialist - OBGYN, East Denver

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 - e-verification 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 have AMAZING benefits and offer exceptional 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 year-for-year basis.
  
  
  
  

Preferred Qualifications:

• Associate degree
• Previous experience in managed care referrals
• Previous experience with ICD-10, CPT, HCPCS coding, and medical terminology
• 2+ years of referral experience
• EPIC, Kronos, and HealthStream experience
• MS Office experience
• Bilingual, Spanish-speaking

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 ICD-10, 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 detail-oriented 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, brooke.d.sabin@cuanschutz.edu

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

$43,700 to $51,042.

The above salary range (or hiring range) represents the University's 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.edu/node/153125

Equal Employment Opportunity Statement:

The University of Colorado (CU) is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we 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 hr.adacoordinator@cuanschutz.edu.

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 COVID-19 virus and other vaccine 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 the occupational health medical surveillance program.