Referral Specialist

6 days ago


Boulder, Colorado, United States Boulder Community Health Full time
About the Role

We are seeking a highly skilled Referral Specialist to join our team at Boulder Community Health. As a Referral Specialist, you will play a critical role in the central processing of prior-authorizations and referrals for multiple primary care practices.

Key Responsibilities
  • Acquire authorization for referrals from insurance carriers in a timely manner.
  • Communicate with patients and physicians regarding referral information.
  • Follow up with insurance carriers when referrals are denied in a timely manner.
  • Document relevant information in patient charts and logbooks.
  • Maintain strict patient confidentiality.
  • Uphold guidelines set forth by the department and organization.
  • Establish and maintain effective working relationships with patients, staff, and other stakeholders.
Requirements
  • High school graduate or equivalent preferred.
  • Experience with medical terminology preferred.
  • Previous referral experience with knowledge of health insurance preferred.
About Boulder Community Health

Boulder Community Health is a community-owned and operated nonprofit health system dedicated to providing high-quality medical care to our community. We are known for our clinical excellence in heart care, neurosurgery, stroke care, orthopedics, and cancer care. We are a Certified Level II Trauma Center and have received numerous awards and recognition for our patient care and services.

We offer a competitive compensation and benefits package, including health, dental, and life insurance, tuition reimbursement, and an on-site fitness center. We also have an Employee Wellness and Support program, employee activities, discounts, and more.

We are an equal opportunity employer and an affirmative action employer. We are a drug-free workplace.


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