[Hiring] Referral Specialist @Intermountain Health

Role Description

The Referral Representative processes insurance pre-authorization for primary and specialty service office visits and testing. Responsibilities include:

• Receiving and gathering pertinent information from patients, providers, insurance carriers, and other staff to confirm the patient’s financial obligations for services.
• Acting as a liaison between clinical staff, health plans, providers, and patients to obtain insurance authorizations, advocating for the patient.
• Verifying insurance coverage and obtaining required authorization when necessary.
• Documenting referral information, communications, actions, and other data in electronic medical information systems to communicate a patient’s authorization progress.

Qualifications

• Detail-Oriented
• Medical Terminology
• Customer Service
• Medical Records Management
• Critical Thinking
• Researching
• Communication
• Documenting

Requirements

• 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).

Benefits

• Benefits Eligible: Yes
• Shift Details: Monday - Friday, business hours
• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.