Referral Specialist - OBGYN, Family Planning, Lowry

University Staff Description

University of Colorado Anschutz Medical Campus

Department: Community Practice

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

Position #: 00827643 - Requisition #:34928

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 in to 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; verifies patient understanding.
• Notifies referral provider of authorizations promptly.

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 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.

Why work for the University?

We have AMAZING benefits 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 Age-Friendly 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/client-facing experience.

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

Applicants must meet requirements at the time of hire.

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:

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 fiv.