Job description
Location and Schedule
- Location: Fully Remote (Must reside in Colorado)
- Department: UCHlth Patient Line Referrals
- Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
- Shift: Days
- Pay: $19.67 - $25.57 / hour (Dependent on experience)
Summary
Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals while providing efficient patient flow and service excellence.
Responsibilities
- Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high-cost drugs.
- Tracks referrals and formulary requirements to ensure compliance with guidelines.
- Responds to inquiries from third-party payors, employers, internal staff, and physicians.
- Maintains information on health plan guidelines and provides training on requirements.
- Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) when required.
- Ensures confidentiality of patient and institutional information.
- Monitors patient needs and prepares written reports.
- Utilizes critical thinking and decisive judgment to work in a fast-paced environment with minimal supervision.
Requirements
- Education: High School diploma or GED required; Associate's degree preferred.
- Experience: 6 months of experience in healthcare.
Total Rewards and Benefits
UCHealth invests in your professional success and well-being through a comprehensive program:
- Performance & Growth: 3-Year Incentive Bonus, annual merit pay increases, and annual market pay reviews.
- Health & Well-being: Medical, dental, vision, 24/7 mental health support, gym discounts, and comprehensive leave (PTO, FAMLI).
- Retirement: 403(b) with employer match and 457(b) options.
- Education: Tuition reimbursement, pre-paid degree programs, LinkedIn Learning access, and Public Service Loan Forgiveness assistance.
Equal Opportunity Employer
UCHealth is committed to equal employment opportunity and diversity. We do not discriminate based on race, color, national origin, religion, sex, disability, sexual orientation, age, or any other characteristic protected by law. We provide reasonable accommodations for qualified individuals with disabilities.