Remote Pre-Auth & Referral Specialist

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

Benefits offered by this job

Benefits eligible

Job summary

Intermountain Health Lutheran Hospital is seeking a Referral Representative to manage insurance pre-authorizations for primary and specialty services. You will collect patient and provider information, verify coverage, and coordinate with plans to secure approvals while advocating for the patient.

The role interfaces with clinical teams and payers, ensuring accurate documentation in EMR systems and timely communication of authorization progress.

Qualifications

• Detail-oriented with strong accuracy and documentation skills.
• Familiarity with medical terminology used in referrals and scheduling.
• Experience in handling medical records and patient data.
• Ability to use electronic medical records systems and relevant software.

Responsibilities

• Process insurance pre-authorizations for office visits and testing.
• Gather information from patients, providers, and insurers to confirm financial obligations.
• Serve as liaison between clinical staff, health plans, providers and patients for authorizations.
• Document referrals and authorizations in EMR and communicate progress to staff.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Tools

EPIC

Job description

Intermountain Health Lutheran Hospital is seeking a Referral Representative to manage insurance pre-authorizations for primary and specialty services. You will collect patient and provider information, verify coverage, and coordinate with plans to secure approvals while advocating for the patient.

The role interfaces with clinical teams and payers, ensuring accurate documentation in EMR systems and timely communication of authorization progress.