Insurance Authorization & Referral Specialist

Intermountain Healthcare Inc.; United States; Presencial; USD 27.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

PEAK tuition assistance

Flexible work options

Descripción de la vacante

Intermountain Healthcare Inc. in Wheat Ridge, CO is seeking a Referral Representative to process insurance pre-authorization for primary and specialty visits and testing. You will gather patient and provider information, verify coverage, and advocate for the patient to obtain timely approvals.

The role requires collaboration across clinical staff, health plans, and patients, along with accurate documentation in electronic medical records and adherence to Intermountain standards.

Formación

• Computer literacy ensuring accuracy and timeliness.
• Ability to collaborate with multiple teams.
• Clear written communication and professional writing.
• Detail-oriented and thorough in data entry.

Responsabilidades

• Process referrals and manage pre-authorization workflows.
• Document patient demographics, insurance, and medical needs.
• Track referrals and maintain detailed documentation.
• Coordinate with patients, clinics, and insurers on approvals.
• Liaise with payer relations for denials or appeals.

Conocimientos

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Herramientas

EPIC

Descripción del empleo

Intermountain Healthcare Inc. in Wheat Ridge, CO is seeking a Referral Representative to process insurance pre-authorization for primary and specialty visits and testing. You will gather patient and provider information, verify coverage, and advocate for the patient to obtain timely approvals.

The role requires collaboration across clinical staff, health plans, and patients, along with accurate documentation in electronic medical records and adherence to Intermountain standards.