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)
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.
Proof of immunity to vaccine-preventable diseases is an employment requirement.
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