Remote Referral Advocate for Insurance Authorizations

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

Job summary

Intermountain Health Lutheran Hospital is seeking a Referral Representative to process insurance pre-authorizations for primary and specialty visits and tests. You will gather patient and provider information, verify coverage, and act as a liaison between patients, clinics, and insurers to obtain approvals.

The role emphasizes accurate EMR documentation, collaboration with payer relations, and providing cost estimates while guiding patients to financial counseling when needed.

Qualifications

• Computer literacy to ensure accuracy and timeliness.

Responsibilities

• Process referrals and document patient demographics, insurance, and medical needs.
• Route referrals per department requirements and add related documentation.
• Coordinate pre-visit activities with patients, clinics, and payers.
• Obtain prior authorizations and provide cost estimates; refer to financial counseling.
• Maintain data entry in EMR systems and track referral progress.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Tools

EPIC

Microsoft Word

Microsoft Excel

Microsoft Outlook

OneNote

Job description

Intermountain Health Lutheran Hospital is seeking a Referral Representative to process insurance pre-authorizations for primary and specialty visits and tests. You will gather patient and provider information, verify coverage, and act as a liaison between patients, clinics, and insurers to obtain approvals.

The role emphasizes accurate EMR documentation, collaboration with payer relations, and providing cost estimates while guiding patients to financial counseling when needed.