20 days old

Referral Coordinator - Golden CO

Golden, CO 80401
Apply Now
Apply on the Company Site
  • Job Code

Opportunities with New West Physicians. Bring your passion for health care to New West Physicians in Colorado, a team committed to providing excellent service to every patient... every time. We're not only one of the largest physician groups in Colorado with 21 offices throughout the Denver Metro area - we're also part of Optum, a nationwide family of nearly 45,000 dedicated physicians working together to help people live their healthiest lives. That means we're backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. For four consecutive years, New West Physicians achieved Elite status - the highest ranking - in the America's Physician Groups Standards of Excellence Survey. In addition, New West Physicians was selected as one of the 2017 Million Hearts Hypertension Control Champions by the Centers for Disease Control and Prevention, and was the 2015 recipient of AMGA's National Acclaim Award recognizing high performing medical groups bringing the American health care system closer to the ideal delivery model: one that's safe, effective, patient-centered, timely, efficient, and equitable. It's all possible because of our highly qualified, board - certified family practice and internal medicine physicians, hospitalists, cardiologists, gastroenterologists, psychiatrists, endocrinologists, neurologists, physician assistants, nurse practitioners and more. If this sounds like the place for you, it's time to take a closer look at New West Physicians and discover a path to your life's best work.(sm)

Primary Responsibilities:

  • Receive, review, and coordinate all information required to initiate a referral for pre-authorization for health care services for multiple practices

  • Follow protocols set up by New West Physicians and contracted payors.  Utilized New West Physicians Practice Guidelines as required

  • Advise providers concerning the adequacy of the information contained in the referral. 

  • Maintain accurate documentation of the referred patients' medical records

  • Communicate to patients and providers in the referral network in a timely manner the status or completion of the referral and any information required to ensure continuity of care to the patient 

  • Document communication as required to maintain service excellence

  • Demonstrate critical thinking skills and effective communication skills in investigating breakdowns in the referral process to ensure positive working relationships 

  • Educate patients and staff on changes in the referral process, alternatives available within the insurance plan and consequences of out-of-plan services

  • Maintain knowledge base of service plan benefits, criteria for plan enrollment and eligibility time-frames, and resources available to the patient within the plan for information on plan services.

  • Other responsibilities as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Posted: 2020-09-02 Expires: 2020-10-09

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Referral Coordinator - Golden CO

UnitedHealth Group
Golden, CO 80401

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast