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    Care Management Specialist - Denver, United States - Intermountain Health

    Intermountain Health
    Intermountain Health Denver, United States

    3 weeks ago

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    Description

    Job Description:

    This position provides clerical and administrative support to enhance integrated care management for targeted populations and individuals. Facilitates communication with payers and authorization of services in accordance with regulatory and contractual requirements, patient and family-centered interdisciplinary care planning, effective care coordination, collaboration and communication between healthcare settings, and effective transitions to the appropriate level of care.

    Scope

    As a Care Management Specialist you need to know how to:

    • Link patients to specialty care, provide support for the healthcare providers, office staff and practice administrator.
    • Coordinate financial needs, surgery schedules and medical needs of patients from physician to specialist offices as well as schedules medically necessary procedures for patients.
    • Assists in managing patient flow, both in office and via telephone interaction, such that their healthcare provider is enabled to be informed, organized and efficient with patient care.
    • Provide patients with cost estimates prior to surgery and advise them on paying for services.
    • Educate patients about payment options and financial assistance.
    • Examine claims and verify insurance eligibility.
    • Communicate with insurance carriers, update internal billing registrations- Works collaboratively with secondary prior authorization companies to obtain appropriate authorizations when necessary.
    • Appropriately document and report payment information- Maintain records of medical costs, adjustments, co-payments, and other billing details.
    • Reviewing patient records using medical coding procedures.

    Minimum Qualifications

    High school diploma or GED equivalent

    Physical Requirements:

    Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

    Anticipated job posting close date:

    05/23/2024

    Location:

    Saint Joseph Hospital

    Work City:

    Denver

    Work State:

    Colorado

    Scheduled Weekly Hours:

    40

    The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

    $ $27.42

    We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

    Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers ) , and for our Colorado, Montana, and Kansas based caregivers ) ; and our commitment to diversity, equity, and inclusion ) .

    Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

    Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

    Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

    To find out more about us, head to our career site here ) .

    Sign up for job alerts Click 'sign in' at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

    Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact or email . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

    We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

    Learn more about diversity at Intermountain, here. )

    Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

    Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. )

    The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

    All positions subject to close without notice.

    Thanks for your interest in continuing your career with our team

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