Utilization Intake Coordinator

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford.  Our mission is to partner with communities and empower people through access to quality, affordable care.

Why should you consider a career with Colorado Access?

We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.

1. Find work/life balance:  We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.
2. Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.
3. Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.

What you will do:

We are looking for a Utilization Intake Coordinator who can help shape our vision and support our mission. Here is what the position will look like.

• Receives all incoming requests (via phone, fax or authorization portal) from providers requesting specialty referral or prior authorization for services.
• Responsible for the initial processing of requests for submission to the appropriate clinical reviewer.
• Reviews completeness of information, collects and transfers non-clinical data, and obtains structured clinical data.
• Works in a phone queue to receive inquiries from providers and members and directs those inquiries to the appropriate licensed clinical or leadership staff.
• Appropriately and consistently apply criteria, scripted guidelines and turnaround times for all services requested.
• Provides notification to requesting provider of the outcome of their requests.
• Assures appropriate and complete data entry of all requests per guidelines.
• Works closely with other teams within the Utilization Management department to ensure that departmental goals are met.
• Participates in the Quality Improvement process.
• Responsible for appropriate and consistent interpretation and adherence to all departmental procedures and guidelines.
• Engages in ongoing, real time, and comprehensive communications of their current efforts, issues, progress, and barriers with their manager.

What you will bring:

Education: High school diploma or equivalent required. Associate or bachelor’s degree in behavioral health or nursing field preferred.

Experience: Minimum of two years of experience working with medical records or clinical documentation in a medical office, hospital, or behavioral health treatment setting, with demonstrated knowledge of medical and/or behavioral health terminology, treatment types, diagnosis codes (e.g., ICD-10), and procedure/service codes (e.g., CPT/HCPCS). Experience working as behavioral health technician, medical assistant, or LPN preferred.

Knowledge, Skills, and Abilities: Knowledge of medical terminology, ICD-10 and CPT-4 coding experience required. Demonstrates support for the company’s mission, vision and values.  Position requires excellent written and verbal communication skills.  Ability to work independently with minimal supervision.  Ability to work effectively with Colorado Access staff, members, physician office staff and other providers.   Basic computer knowledge and experience with Microsoft Word and Excel required.   May be required to manage multiple priorities and projects with tight deadlines. 

Licenses/Certifications: A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Together we will be: an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.

Pay, Perks and Benefits at Colorado Access:

The compensation for this position is $56,820.00 - $68,180.00 annually and is a non-exempt (hourly) position. Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate, departmental budget availability, internal salary equity considerations, and available market information, but not based on a candidate’s sex or any other protected status.

In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes:

• Medical, dental, vision insurance that starts the first day of the month following start date. 
• Supplemental insurance such as critical illness and accidental injury. 
• Health care and dependent care flexible spending account options.
• Employer-paid basic life insurance and AD&D (employee, spouse and dependent). 
• Short-term and long-term disability coverage.
• Voluntary life insurance (employee, spouse, dependent).
• Paid time off
• Retirement plan
• Tuition reimbursement (based on eligibility). 
• Annual bonus program (based on eligibility, requirements and performance).

Where you will work:

This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’ 

We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.

Colorado Access is committed to providing equal opportunities to all people regardless of race, color, national origin, age, sex, genetic information, religion, pregnancy, disability, sexual orientation, veteran status or any other status protected by applicable law. We strive to maintain a work environment that is free from unlawful harassment and discrimination.