Job Information
SCL Health Referral Specialists in Denver, Colorado
Job Description:This position provides clerical and administrative support to enhance integrated care management for targeted populations and individuals. Facilitates communication with payers and authorization of services in accordance with regulatory and contractual requirements, patient and family-centered interdisciplinary care planning, effective care coordination, collaboration and communication between healthcare settings, and effective transitions to the appropriate level of care.
As a Care Management Specialist you need to know how to: Link patients to specialty care, provide support for the healthcare providers, office staff and practice administrator. Coordinate financial needs, surgery schedules and medical needs of patients from physician to specialist offices as well as schedules medically necessary procedures for patients. Assists in managing patient flow, both in office and via telephone interaction, such that their healthcare provider is enabled to be informed, organized and efficient with patient care. Provide patients with cost estimates prior to surgery and advise them on paying for services. Educate patients about payment options and financial assistance. Examine claims and verify insurance eligibility. Communicate with insurance carriers, update internal billing registrations. Works collaboratively with secondary prior authorization companies to obtain appropriate authorizations when necessary. Appropriately document and report payment information. Maintain records of medical costs, adjustments, co-payments, and other billing details. Reviewing patient records using medical coding procedures.
Minimum Qualifications High school diploma or GED equivalent
Preferred Qualifications Bilingual Spanish speaking
Physical Requirements: Interact with others by effectively communicating, both orally and in writing. Operate computers and other office equipment requiring the ability to move fingers and hands. See and read computer monitors and documents. Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. May require lifting and transporting objects and office supplies, bending, kneeling and reaching.
Anticipated job posting close date:05/16/2024
Location:Saint Joseph Hospital
Work City:Denver
Work State:Colorado
Scheduled Weekly Hours:40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$18.29 - $27.42
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
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Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities