April 15, 2024

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[New Job Vacancy] job in UCHealth, (Colorado Springs, CO) – Jobs in Colorado Springs, CO

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Job Opening details:-
Company Name :-
UCHealth
Position Name :-

Company Location :-
Colorado Springs, CO
Job Category :-
General

Full Job Description :-
Summary:
Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence.

Work Schedule: Full Time
Days/80 hours per pay period.

Responsibilities:
Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements.

Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelines.

Ensures confidentiality of patient and institutional information. Provides routine information to customers and relays information appropriately.

Monitors patient needs and responds to inquiries. Prepares written reports.

Within
scope of job, requires critical thinking skills, decisive judgement and the
ability to work with minimal supervision. Must be able to work in a
fast-paced environment and take appropriate action.

Requirements:

Credentials:

Other information:

Minimum Required Education: High School diploma or GED. Preferred: Associate’s degree.

Required Licensure/Certification: None required.

Minimum Experience: 6 months’ experience in healthcare.

The

pay range for this position is: $19.67 – $25.57 / hour . Pay is dependent on
applicant’s relevant experience.

An annual bonus may be paid to eligible employees based upon organizational and
individual performance.

UCHealth offers their employees a competitive and comprehensive total rewards
package. Some of the many benefits included in this package are full medical,
dental and vision coverage; retirement plans; paid time off; employer-paid life
and disability insurance with additional buy-up coverage options; tuition and
continuing education reimbursement; and a full suite of voluntary benefits such
as identity theft protection and pet insurance. Our employees and their family
members have full access to our Employee Assistance Program, which includes up
to 5 free counseling visits and work/life solutions, such as one free legal
consultation. In addition, other emotional counseling support is available
depending upon their need.

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every
person. In big ways and small, we exist to improve the extraordinary lives of
all those we serve. As Colorado’s largest and most innovative
health care system, we as a team deliver on the commitment to provide the best
possible experience for our patients and their families. We foster a true human
connection and give people the freedom to live extraordinary lives. A career at
UCHealth is more than a job, it’s a passion.

Going
beyond quality requires the perfect balance of talent, integrity, drive and
intellectual curiosity. We are looking for individuals who recognize, like us,
that the world of medicine is ever-changing and are motivated to do what is
right, not what is easy. We support creativity and curiosity so that
each of us can find the extraordinary qualities within ourselves. At UCHealth,
we’ll do everything in our power to make sure you grow and have a meaningful
career. There’s no limits to your potential here.

Be Extraordinary. Join Us Today!

UCHealth
recognizes and appreciates the rich array of talents and perspectives that
equal employment and diversity can offer our institution. As an
affirmative action/equal opportunity employer, UCHealth is committed to making
all employment decisions based on valid requirements. No applicant
shall be discriminated against in any terms, conditions or privileges of
employment or otherwise be discriminated against because of the individual’s
race, creed, color, religion, gender, national origin or ancestry, age, mental
or physical disability, sexual orientation, gender identity, transgender
status, genetic information or veteran status. UCHealth does not
discriminate against any “qualified applicant with a disability” as defined
under the Americans with Disabilities Act and will make reasonable
accommodations, when they do not impose an undue hardship on the organization.

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