Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.
Through Centura Health’s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for Life® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.
Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.
If you’re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.
Job Description/Job Posting ID: 110439
Recruiter Contact: Andrew Ross, email@example.com
Schedule: Full Time
Obtains insurance authorizations for patient referrals from primary care physicians. Answers up to 30 inbound calls in a call center setting. Collect and verify insurance requirements to ensure payer requirements are met in a timely manner. Performs computer data entry and retrieval. Demonstrates strong interpersonal and customer service skills. Documentation appropriately on referrals and authorizations utilizing multiple computer systems.
Minimum Education Requirements
High School Diploma/GED
Associates degree preferred
Minimum Experience Requirements
2 years' experience in healthcare setting or a combination of customer service and healthcare experience
Obtain authorization with third party insurance companies for referrals to specialists and diagnostic testing.*
Obtain accurate information including all pertinent patient data to include but not limited to insurance verification, precertification numbers, birth date etc. *
Verify insurance coverage and authorization requirements for referral orders. *
Monitor work queues to ensure management of referrals in a timely manner. *
Provide specialists office with pertinent medical records, while maintaining confidentiality. *
Uses sound judgment when managing referrals to ensure patient safety.*
Manages the issues encountered when daily operational changes take place. Able to multi-task and work under pressure. *
Communicates in a timely fashion and functions as liaison with patients, physicians, physician office staff, insurance companies and other departments in a professional manner. *
Ensures phones are answered promptly in a pleasant and professional manner with the ability to answer/schedule caller's needs or concerns quickly and efficiently. *
Effectively utilizes resources available to minimize errors. *
Adheres to department procedures and acceptable protocols. *
Reports any life safety issues, environmental concerns or process deviation to immediate supervisor.
Participates in quality improvement initiatives. *
Participates in professional and program development by attending department in-services, and meetings.
Assists with the education and training of staff. *
Demonstrates effective time management and is proactive in prioritizing workload and meeting productivity requirements.*
Adapts to rapidly changing technologies, policies, regulations, census and staffing through priority setting and flexibility. *
Adheres to strict work schedule guidelines during hours of operation.*
Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.