Remote Insurance Referral Specialist

Intermountain Healthcare Inc.; Augusta (ME); Remote; USD 27,000 - 39,000; Full time

Job summary

Intermountain Health Lutheran Hospital is seeking a Referral Representative to handle insurance pre-authorizations for primary and specialty visits and tests. You will gather information from patients, providers, and insurers, and act as a liaison to obtain approvals while documenting progress in EMR.

The role requires collaboration with clinical staff, health plans, and patients, with an emphasis on accuracy, patient advocacy, and timely processing of referrals.

Qualifications

• Proficient with Microsoft Word, Outlook, Excel, and OneNote.
• Able to collaborate with multiple teams and coworkers.
• Detail oriented and accurate in data entry.
• Strong written and verbal communication.

Responsibilities

• Process referrals and pre-authorizations in EMR systems.
• Coordinate with patients, providers, and insurers on authorization progress.
• Document all communications and actions in EMR to track status.
• Communicate requirements for pre-visit and pre-registration efficiently.
• Assist with cost estimates and direct patients to financial counseling as needed.
• Ensure compliance with regulatory and Intermountain standards for data entry and documentation.
• Meet performance metrics and support care coordination goals.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Tools

EPIC EMR

Microsoft Office Suite

Job description

Intermountain Health Lutheran Hospital is seeking a Referral Representative to handle insurance pre-authorizations for primary and specialty visits and tests. You will gather information from patients, providers, and insurers, and act as a liaison to obtain approvals while documenting progress in EMR.

The role requires collaboration with clinical staff, health plans, and patients, with an emphasis on accuracy, patient advocacy, and timely processing of referrals.