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Referral Specialist - Orthopedics, Inverness

Company: University of Colorado
Location: Aurora
Posted on: January 13, 2022

Job Description:

University of Colorado - CU Anschutz Medical Campus
School of Medicine Dean's Office, Community Practice Division
Referral Specialist - Orthopedics, Inverness
Administrative Assistant III
Position #00790470 - Requisition #23264

  • Applications are accepted electronically ONLY at *

    The University of Colorado has a requirement for COVID-19 vaccinations and full completion thereof by 9/1/21 or upon start date. Information regarding this requirement, and exemptions can be found at:
    Exemptions vary by campus location/department.
    Campus/Unit-Specific Exemptions:

    • Anschutz Campus - Exemptions are allowed for medical or religious reasons.
    • Denver Campus - Exemptions are allowed for medical, religious, or personal reasons.
    • Consolidated/Central Services Administration - Will follow Anschutz policy on exemptions.

      The University of Colorado Anschutz Medical Campus seeks individuals with demonstrated commitment to creating an inclusive learning and working environment. We value the ability to engage effectively with students, faculty and staff of diverse backgrounds.
      School of Medicine Dean's Office, Community Practice Division has an opening for a full-time University Staff (unclassified) Administrative Assistant III, Referral Specialist - Orthopedics, Inverness position.
      The University of Colorado Anschutz Medical Campus is a public education, clinical and research facility serving 4,500 students, and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges, and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care. Read CU Anschutz Quick Facts here.
      Position Summary:
      Responsible for providing efficient, effective, quality customer service through a variety of duties including, but not limited to, referral management, completing internal and external referral processes, obtaining authorization from health plans and other Utilization Management (UM) entities for referrals. Also responsible for entering all referral and authorization information in to EPIC and communicating outcomes to the patients, specialists, and other providers. Complies with established company policies and procedures, HIPAA Privacy Rules and University of Colorado School of Medicine Confidentiality Policy. Ensures clear and timely communication with patients, colleagues and providers in a variety of clinical department(s). Assists in overall department work that may include overflow from other departments and/or locations.
      Position Responsibilities & Essential Duties:
      Essential Duties:

      • Runs daily referral reports to create a work list and monitor referrals in place
      • Processes referrals according to departmental goals and accepted protocols, including referrals from Internal Medicine, Geriatric Medicine, Pain Medicine and other departments as directed.
      • Verifies insurance eligibility and benefits from all resources, including eligibility lists or direct contact with insurance companies - e-verification or by telephone
      • Enters referral information into EPIC using correct coding procedures
      • Documents sufficient referral detail into EPIC so it is clear what was requested, what occurred, what was approved and who was notified.
      • Notifies patients of the referral process, authorization decisions; verifies patient understanding
      • Notifies referral provider of authorizations in a timely matter
      • Notifies supervisor of problem referrals where turn-around goals are exceeded or other issues are encountered
      • Acts as a liaison for Managed Care and providers when patients have questions
      • Serves as a clinic information sour regarding managed care and referrals
      • Demonstrates excellent customer service; assists patients and staff to set up services and/or resolve concerns
      • Keeps providers, clinical staff and other referral team members informed of pertinent findings or issues covered
      • Documents accurately and appropriately in EPIC and other relevant systems
      • Successfully meets productivity goals
      • Successfully performs work under pressure in an efficient and organized manner
      • Maintains strict confidentiality
      • Performs all other duties/responsibilities as assigned

        Additional Responsibilities:

        • Demonstrates responsibility and accountability for all referral and communication practices
        • Maintains professional appearance and conduct at all times
        • Demonstrates personal integrity, honesty and sincerity at all times
        • Demonstrates excellence in customer service and satisfaction levels for internal and external customers; this includes regular review of patient survey information, responding to patient or provider concerns, and efficient resolution of RL events
        • Establishes and maintains effective working relationships with leadership, physicians, and colleagues; addresses concerns in a forthright manner
        • Effectively copes with fast-paced environment and typical job stressors
        • Focuses self and others on achieving the practice's quality and financial outcomes in a responsive timely manner
        • Provides vision and planning to meet goals; welcomes innovation and new approaches to reach new heights in quality and service
        • Performs core responsibilities of position efficiently and effectively within parameters of organization policies, procedures and external governmental agencies
        • Must be able to travel to alternate locations as assigned

          Required Skills:

          • Strong organizational and personal skills; must have strong work ethic
          • Strong communication skills, both written and verbal
          • Strong knowledge of ICD-10, CPT, HCPCS coding and medical terminology
          • Ability to maintain a positive attitude with clients, employees, and management
          • Ability to work quickly - individually and as part of a team
          • Ability to read, analyze, and interpret policies, documents, and regulations
          • Must be detail-orientated and maintain excellent organizational skills
          • Must be tech savvy (ability to understand, apply, and benefit from technology)
          • Must be able to use basic office equipment
          • Understanding of HIPAA practices and patient confidentiality
          • Excellent customer service skills

            Other Required Skills:

            • Ability to effectively communicate at all levels, to include physicians, leadership, and staff
            • Ability to work within large, complex healthcare systems
            • Ability to maintain confidentiality and communicate in person, by phone or in writing
            • Ability to attest to computer proficiency and learn new computer applications
            • Ability to keyboard/type, write legibly, and accurately record information
            • Ability to analyze and interpret data
            • Ability to organize workflow with particular focus on tracking patient care and improving patient flow
            • Ability to maintain professional demeanor
            • Ability to deal calmly and courteously with people
            • Ability to deal with stressful situations
            • Ability to manage time and work tasks
            • Ability to finish tasks in a timely manner
            • Ability to follow oral and written instructions and established procedures
            • Ability to multitask efficiently and effectively while maintaining quality control standards
            • Ability to maintain accuracy and consistency
            • Ability to perform basic filing, office procedures and word processing
            • Ability to adhere to all policies and procedures, including but not limited to standards for safety, attendance, punctuality, and personal appearance.
            • Ability to work as an effective team member

              Personal Relationships:

              • Must be able to establish and maintain effective working relationships with providers, managers and colleagues
              • Must be able to maintain a high level of adaptability and excel with interpersonal skills

                Internal Contacts:

                • Within Department
                • Cross-departmental
                • Physicians
                • APPs
                • Students
                • Management
                • Faculty
                • Risk Management
                • Safety & Infection Control
                • Marketing
                • Business Office

                  External Contacts:

                  • Patients
                  • Families
                  • Vendors
                  • Insurance Companies
                  • Regulatory Agencies
                  • Media
                  • Miscellaneous business partners, utilities, etc.
                  • Visitors
                  • Other healthcare agencies

                    Physical Requirements & Working Conditions:
                    The physical demands, work environment factors and mental functions described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

                    • N= Not at all
                    • R= Rarely: Less than once an hour
                    • O= Occasional: 1-4 times/hour or up to 1/3 of the shift
                    • F= Frequent: 5-12 times/hour or up to 2/3 of the shift
                    • C= Constant: More than 2/3 of the shift

                      Push or pull with hands/arms
                      Lift hands above head
                      Walk on uneven &/or slippery surfaces
                      Climb or balance
                      Stoop, kneel, crouch, crawl, bend
                      Use of hands
                      Climb stairs
                      Forceful grip w/ hands
                      Reach w/ arms
                      Lifting up to 10 lbs
                      Work in outdoor weather conditions
                      Lifting up to 25 lbs
                      Awkward postures
                      Lifting up to 50 lbs
                      Close vision (20" or less)
                      Distance vision (20' )
                      Interpersonal skills
                      Peripheral vision
                      Ability to adjust focus
                      Depth perception
                      Work in a loud environment
                      Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with this position.
                      Minimum Qualifications:

                      • High school diploma or equivalent
                      • 3 years medical office experience, with at least 1 year of that being referral experience

                        Substitution: combination of related education and experience may be considered.
                        Applicants must meet minimum qualifications at the time of hire.
                        PLEASE NOTE: Candidates will be responsible for travel expenses related to the interview process and any relocation expenses, if applicable.
                        Preferred Qualifications:

                        • College graduate
                        • Previous experience in managed care referrals
                        • Previous experience with of ICD-10, CPT, HCPCS coding and medical terminology
                        • 2 years of referral experience
                        • EPIC experience
                        • MS Office experience
                        • Bilingual, Spanish-speaking
                        • MS Office skills: Word, Outlook, Power Point
                        • Internet and database software
                        • EPIC

                          Salary and Benefits:
                          The hiring range (or budgeted range) for this position begins at $44,052 to $48,696 per year.
                          The salary of the finalist(s) selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training.
                          The above salary rate represents the University's good faith and reasonable estimate of the rate at the time of posting.
                          This position is eligible for overtime compensation.
                          Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.
                          Total Compensation Calculator:
                          Diversity and Equity:
                          The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at
                          The University of Colorado Denver - Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnic minorities, persons with disabilities and all veterans. The University of Colorado is committed to diversity and equality in education and employment.
                          The University of Colorado Denver - Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Keywords: University of Colorado, Aurora , Referral Specialist - Orthopedics, Inverness, Other , Aurora, Colorado

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