Remote Referral & Authorization Specialist

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

Job summary

Intermountain Health is hiring a Referral Representative for a fully remote role. You will process insurance pre-authorizations for office visits and testing, gather patient and provider information, and act as a liaison among patients, clinics, and health plans to secure approvals.

You will document all actions in EMR and coordinate with staff to ensure timely authorizations, patient understanding of financial obligations, and appropriate referrals across departments.

Qualifications

• Computer literacy to ensure accuracy and timeliness.
• Ability to work well with coworkers and patients.
• Collaborate with multiple teams.
• Clear and professional writing.
• Be thorough, precise and detail oriented.
• Navigate Microsoft Word, Outlook, Excel, OneNote.

Responsibilities

• Process referrals and manage pre-authorization workflows.
• Coordinate between patient, clinic, and insurer for approvals.
• Document referral data in EMR and track progress for team visibility.
• Provide cost estimates and direct patients to financial counseling when needed.
• Support pre-registration and pre-visit preparation with staff.
• Utilize EMR and insurance platforms per protocol and ensure data accuracy.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Tools

EPIC

Job description

Intermountain Health is hiring a Referral Representative for a fully remote role. You will process insurance pre-authorizations for office visits and testing, gather patient and provider information, and act as a liaison among patients, clinics, and health plans to secure approvals.

You will document all actions in EMR and coordinate with staff to ensure timely authorizations, patient understanding of financial obligations, and appropriate referrals across departments.