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Referral Specialist - OBGYN, Family Planning, Lowry

University of Colorado Denver

Description

University of Colorado Anschutz Medical Campus

Department: Community Practice

Job Title: Referral Specialist - OBGYN, Family Planning, Lowry

Position #: 00827643 - Requisition #: 35723

Job Summary:

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; verifies patient understanding.

• Notifies referral provider of authorizations in a timely matter.

Work Location:

Onsite

Why Join Us:

Why work for the University?

• 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

Diversity and Equity:

Qualifications:

Minimum Qualifications:

• High school diploma or equivalent.

• 2+ years of patient/client-facing experience.

Preferred Qualifications:

• Associate's 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:

• 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 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-orientated 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:

Screening of Applications Begins:

Anticipated Pay Range:

ADA Statement:

Background Check Statement:

Vaccination Statement:

Job Category

Primary Location

Schedule

Posting Date

Unposting Date

To apply, please visit: https://cu.taleo.net/careersection/2/jobdetail.ftl?job=35723&lang=en (https://apptrkr.com/5874581)

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Referral Specialist - OBGYN, Family Planning, Lowry - 35723 University Staff

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.

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

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 4,500 students, and a world-class medical destination at the forefront of life-changing 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 1,450 degrees annually. Powered by our award-winning 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.We have AMAZING benefits and offerexceptional amounts of holiday, vacation, and sick leave! The University of Colorado offers an excellent benefits package including: There are many additional perks & programs with the CU Advantage (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=https://advantage.cu.edu/) .

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 Age-Friendly University. The University of Colorado is committed to diversity and equality in education and employment.

A combination of education and related technical/paraprofessional experience may be substituted on a year-for-year basis.Applicants must meet the minimum qualifications at the time of hire.

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 position2. Curriculum vitae / Resume3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email addressQuestions should be directed to: Gabriela Van Valkenburg, gabriela.vanvalkenburg@cuanschutz.edu (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=gabriela.vanvalkenburg@cuanschutz.edu)

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

The starting salary range (or hiring range) for this position has been established as $43,700.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 (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=http://www.cu.edu/node/153125)

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 (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=hr.adacoordinator@cuanschutz.edu) .

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.

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=https://www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf) . 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 (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=https://research.cuanschutz.edu/ehs/home/divisions/occupational-health/oh-enrollment) . Application Materials Required: Cover Letter, Resume/CV, List of References : Administrative Support and Related : Denver Department: U0001 -- Anschutz Med Campus or Denver - 21968 - SOM-DEAN DO CPD - OB-GYN : Full-time : Dec 16, 2024 : Ongoing Posting Contact Name: Gabriela Van Valkenburg Posting Contact Email: gabriela.vanvalkenburg@cuanschutz.edu (https://apptrkr.com/get_redirect.php?id=5874581&targetURL=gabriela.vanvalkenburg@cuanschutz.edu) Position Number: 00827643jeid-ab45bad9078f4b4484865952e2dc8a06

The University of Colorado does not discriminate on the basis of race, color, national origin, sex, age, pregnancy, disability, creed, religion, sexual orientation, gender identity, gender expression, veteran status, political affiliation, or political philosophy. All qualified individuals are encouraged to apply.