Referral Coordinator

Intermountain Healthcare Inc.; United States; On-site; USD 27,000 - 39,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Intermountain Health in Colorado is seeking a Referral Coordinator to execute patient referrals, obtain necessary authorizations, and notify patients. The role supports physicians and ensures proper pre-visit clearance and scheduling across our Lafayette Clinic.

Responsibilities include verifying insurance coverage, gathering information for financial obligations, and communicating referral details to patients and staff.

Qualifications

• High school diploma or equivalent is required.
• One year front office or revenue cycle experience in a health care organization is required.

Responsibilities

• Obtains referral requests from physician.
• Ensures patients are cleared for specialty service office visits.
• Resolves pre-certification, registration and case-related concerns prior to a patient's appointment.
• Verifies insurance coverage for patients.
• Obtains authorizations if needed from insurance coverage.
• Gathers information from insurance carriers and staff to determine patient financial obligations.
• Completes referral paperwork and forwards to the medical office.
• Contacts patients with referral information and provides specialist details.
• Acts as a liaison between hospitals, physicians, health plans, vendors, and patients.
• Covers PSR position as needed.

Skills

Front office experience

Revenue cycle

Insurance authorizations

Independent work

Problem solving

Education

High school diploma

Job description

Job Description: The Referral Coordinator is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual insurances and notify patients.

Posting Specifics

Pay Range: $19.41 - $28.14 depending on experience

Benefits Eligible: Yes, check them out here

Shift Details: Full-time, 40 hours per week, Monday - Friday 8:00am - 5:00pm

Job Essentials

• Obtains referral request from physician.
• Ensures patients have been cleared for specialty service office visits.
• Resolves pre- certification, registration and case-related concerns prior to a patient's appointment.
• Verifies insurance coverage or lack thereof for patient.
• Obtains authorizations if needed from insurance coverage.
• Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient's financial obligations for services provided.
• Completes referral paperwork, including copies, and fax to medical office.
• Contacts patient regarding referral information and give name, location, telephone number of specialist.
• Returns referral to physician for signature of completion.
• Acts as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral sources.
• Covers PSR position as needed.
• Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma or equivalent is required
• One (1) year front office or revenue cycle experience in a health care organization is required

Preferred Qualifications

• Experience processing insurance authorizations
• Demonstrated ability to work independently
• Demonstrated problem-solving skills

Physical Requirements

Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

Location

Location: Lafayette Clinic Work City: LaFayette Work State: Colorado Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $19.41 - $28.14

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Thanks for your interest in continuing your career with our team!