Description

Location: UCHealth UCHlth Peakview Medical Ctr, US:CO:Greeley

Department: UCHlth Patient Line Referrals

Work Schedule: Full Time, 72.00 hours per pay period (2 weeks)

Shift: Days

Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience

Summary:

Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence.

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 Exclusion...