Remote Referral Coordinator - Insurance Pre-Auth

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

Job summary

Intermountain Health is seeking a Referral Representative in a fully remote capacity to process insurance pre-authorizations for primary and specialty visits and testing. The role requires gathering patient and insurance information, verifying coverage, and communicating authorization progress to care teams.

The position emphasizes collaboration with clinicians, payers, and patients, with strong emphasis on accuracy in documentation and adherence to regulatory standards.

Qualifications

• Strong computer literacy and accuracy in documenting patient information.
• Experience handling referrals and coordinating with clinics and payers.
• Ability to collaborate with multiple teams and communicate clearly.

Responsibilities

• Process referrals and pre-authorizations for office visits and testing.
• Gather and verify patient demographics, insurance, and medical needs.
• Coordinate with providers, patients, and insurers for prior authorizations.
• Document referral progress in EMR and communicate status to staff.
• Serve as liaison between patient, clinic, and insurance carrier for approvals.
• Maintain accurate data entry and reporting across systems.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Education

High school diploma or equivalent

CNA/MA/EMT preferred

Tools

EPIC EMR

Job description

Intermountain Health is seeking a Referral Representative in a fully remote capacity to process insurance pre-authorizations for primary and specialty visits and testing. The role requires gathering patient and insurance information, verifying coverage, and communicating authorization progress to care teams.

The position emphasizes collaboration with clinicians, payers, and patients, with strong emphasis on accuracy in documentation and adherence to regulatory standards.