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CommonSpirit Health Mountain Region Utilization Management Assistant in Centennial, Colorado

USD $21.99/Hr. to USD $36.23/Hr.Welcome to CommonSpirit Health Mountain Region:

CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

Overview:

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success

The CommonSpirit Payer Communication Coordinator receives, processes, facilitates and documents all payer communications. This position supports denial mitigation by sending documentation within the contracted time period, following up on accounts lacking authorization and communicating with internal stakeholders to ensure the accurate submission of clinical documentation to third party payers. The Payer Communication Coordinator supports the Care Coordination department by recognizing trends and opportunities for process improvement and reporting those to leadership. The Payer Communication Coordinator performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice and Federal and State Regulations. Employees are accountable for demonstrating a strong commitment to promoting quality every day by demonstrating our organizational values of: Compassion, Inclusion, Integrity, Excellence, and Collaboration.

Qualifications:

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

● Minimum one year experience in a hospital, physician’s

office, or medical group performing duties related to

admitting, business office, payer communications or

managed care or an equivalent combination of education

and experience

● High school diploma or GED required

● An understanding of operations and functions of care

coordination, utilization management, denials mitigation is

preferred.

Demonstrated ability to apply problem solving skills

● Excellent customer service and presentation skills are a must

● Strong interpersonal and written communication skills are

essential

● Demonstrated ability to manage multiple tasks or projects

effectively

● Ability to work independently as needed with a high degree

of detail orientation.

● Ability to work efficiently in a fast-paced environment with

changing priorities

Physical Demand Level: Light

This role is remote. However you must reside within CO and have the ability to be at a Commonspirit Facility within 60 minutes. The schedule will start at 7:00am - 5:00 pm on day shift. The shifts are Monday-Sun with rotating weekend coverage.

Your Connected Community:

We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.

Our Total Reward Offerings:

We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer:

  • Several Medical, Dental, & Vision options.

  • Spending Accounts including a Dependent Care FSA that can include an employer contribution

  • Retirement account options with a generous employer match

  • Tuition Reimbursement

  • Student Loan Forgiveness, and so much more!

View more on our benefits HERE (https://centura.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=447276&hashed=-1090637925) .

Pay Range:

$21.99 - $36.23 / hour

Shift: Days

Everyone Thrives Here

You’re different, and we love it. Your perspectives, your ways, what you are on a mission to go and do – we’re all different, but we’re also all equally connected and supported. We are here to cultivate you in an environment which not only lifts you up but propels you forward.

We are an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. For further information about this policy contact our Office of the General Counsel at 1-303-673-8166 (TTY: 711). Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.

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