Description

Location: UCHealth Park West Med Bldg, Pueblo, CO

Department: PMG Cardiology Services

Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)

Shift: Days

Pay: $16.07 - $24.10 / hour. Pay is dependent on applicant's relevant experience

This position is an onsite role and does not offer a hybrid or remote option

Summary:


+ Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence.

Responsibilities:


+ Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements.

+ Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides tr...