Bilingual Primary Care Referral Coordinator

Job Summary

Nature of Work: The University of Colorado, College of Nursing is seeking a Bilingual Primary Care Referral Coordinator for a full-time (1.0 FTE) position within the Office of Clinical and Community Affairs at the Sheridan Health Services clinics located in the Fort Logan neighborhood of Denver. The Bilingual Primary Care Referral Coordinator performs both referral and administrative duties to support comprehensive and high-quality patient care.

Clinic Description

Sheridan Health Services is a multi-site, nurse-managed federally qualified community health center... Services offered include primary care across the lifespan; prenatal and postpartum, gynecology, dentistry, pharmacy, behavioral health, and outpatient substance use treatment.

Referral Processing (75%)

• Process routine, urgent, and emergent referrals for patients in the Adult Primary Care Service Line.
• Verify patient insurance eligibility, communicating with nurse practitioners and the health care team as needed.
• Obtain prior authorization or pre-certification when needed.
• Assist with scheduling appointments consistent with patients' insurance plans.
• Track referrals until completion per clinic policy.
• Uphold HIPAA policies and procedures to protect patient health information.

Administrative (25%)

• Monitor incoming faxes daily and upload progress notes, scheduling notices, imaging results, and specialty referral communication to the EMR.
• Assist in managing the transitions of care from the Emergency Department and hospitalizations to primary care.

Work Location

Onsite – this role is expected to work onsite and is located at Sheridan Health Services at 3525 W. Oxford Ave | Unit G1, Denver, CO 80236.

Qualifications

Minimum Qualifications: Three (3) years of general clerical experience. One (1) year of this experience must have included care coordination in a clinical setting and/or an insurance company health plan referral unit.

Conditions of Employment: Must be willing and able to obtain current BLS/CPR certification by date of hire. Must be willing and able to speak Spanish and English on a daily basis to communicate clinical terminology.