Remote Referral Specialist | Patient Advocate

Intermountain Healthcare Inc.; Trenton (NJ); 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 testing. You will collect patient and provider information, liaise with health plans, and document authorization progress in EMR systems.

The role requires coordinating with patients and clinicians, generating cost estimates, and directing patients to financial counseling when appropriate.

Qualifications

• Have a level of computer literacy that ensures accuracy and timeliness.
• Demonstrated ability to work well with coworkers and patients.
• Ability to collaborate with multiple teams.
• Skill to write clearly and professionally.
• Be thorough, precise and detail oriented.
• Knowledgeable in navigating Microsoft systems (Word, Outlook, Excel, OneNote).

Responsibilities

• Process referrals and referrals information within electronic medical records systems.
• Route inbound referrals following department standards and obtain required information.
• Coordinate pre-registration and pre-visit preparation with patients and staff.
• Liaise with patients, clinics, and insurance carriers to manage prior authorization.
• Provide documentation for denial or appeal information when needed.
• Enter and retrieve data for reporting and communications.
• Meet performance standards and maintain workflow efficiency.

Skills

Detail-Oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Researching

Communication

Documenting

Tools

EPIC

Microsoft Word

Microsoft Outlook

Microsoft Excel

OneNote

Job description

Intermountain Health Lutheran Hospital is seeking a Referral Representative to handle insurance pre-authorizations for primary and specialty visits and testing. You will collect patient and provider information, liaise with health plans, and document authorization progress in EMR systems.

The role requires coordinating with patients and clinicians, generating cost estimates, and directing patients to financial counseling when appropriate.