Specialist Senior, Patient Referral Management-3

We are here for life's journey.
Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:

Humanity in action, Triumph in hardship, Transformation in health.

Department

• Responsible for processing/transcribing internal and external referrals via different modalities that include faxes and EHR. (20%)
• Resolves customer problems by clarifying issues, researching and exploring answers and alternative solutions; implementing solutions; escalating unresolved problems. (5%)
• Fulfills requests by clarifying desired information; completing transactions; forwarding request. (5%)
• Maintain communications and collaborate with patient, provider, payer representative and staff. (5%)
• Gathers patient information by collecting demographic information from a variety of sources; enter and update patient information into Electronic Medical Records; maintains call center databases by entering information. (5%)
• Schedule of internal appointments according to preset scheduling guidelines. (5%)
• Maintains patient confidence by keeping patient records information confidential; delivers quality results by following organizational standards. (5%)
• Serves and protects the community by adhering to professional standards, organizational policies and procedures, federal state, and local requirements, and accreditation standards. (5%)
• Maintains continuity of work operations by documenting and communicating actions, irregularities and continuing needs; keeps equipment operation by following established procedures and reporting malfunctions. (5%)
• Enhances organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. (5%)
• Familiarity with health insurance policies and procedures. (5%)
• Understand medical diagnosis to discuss with health insurance companies and to determine why a patient must be referred. (5%)
• Understands standardized scheduling, rescheduling, and cancellation guidelines. Schedules to appropriate provider according to patient request, provider direction, and availability. (5%)
• Update job knowledge by participating in educational opportunities. (5%)
• Proficient in verification and updating demographic, financial, guarantor, insurance and patient information for new and existing patients within the practice management/electronic health record and various Denver Health computer applications. (5%)
• Determines requirements by working with internal and external customers; answers inquiries by clarifying desired information. (5%)
• Other Duties as assigned. (5%)

• High School Diploma or GED Required
• Associate's Degree Two years of College or Associate's Degree Preferred

• 4-6 years Three to five years in a hospital/medical office setting preferred or relevant experience in a customer service business with the ability to relate to a diverse patient population. Required and
• 4-6 years Familiar with a variety of healthcare concepts, practices, and procedures. Required

• Ability to prioritize and perform a multitude of duties with great attention to detail and a high level of accuracy in a fast paced environment relying on extensive experience and judgment to plan and accomplish goals.
• Knowledge of Commercial Insurance referral and authorization process is preferred.
• Knowledge of medical terminology and benefits.
• Excellent customer focus/service, people skills, listening, verbal and written communication, problem solving and multitasking skills.
• Relationship building, instructing, teaching, process/change execution, flexibility, and reporting.
• Able to type 40wpm and possess intermediate knowledge of PC applications (NT, Windows), healthcare applications and phone systems.

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.