Referral Representative

Job Description: The Referral Representative is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual insurances and notify patients. Schedule - Monday - Friday 8:00am - 4:30pm Obtains referral request from physician. Ensures patients have been cleared for specialty service office visits. Resolves pre- certification, registration and case-related concerns prior to a patient's appointment. Verifies insurance coverage or lack thereof for patient. Obtains authorizations if needed from insurance coverage. Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient's financial obligations for services provided. Completes referral paperwork, including copies, and fax to medical office. Contacts patient regarding referral information and give name, location, telephone number of specialist. Returns referral to physician for signature of completion. Acts as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral sources. Covers PSR position as needed. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned. Minimum Qualifications High school diploma or equivalent is required One (1) year front office or revenue cycle experience in a health care organization is required Preferred Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required Demonstrate understanding of health insurance and medical costs. Excellent customer service skills, in person and via telephone. Strong communication skills. Excellent organizational skills. Proficient computer skills. A team player who handles multiple projects simultaneously in a fast paced environment. Contributes to a positive work environment that is supportive of PSR associates, other colleagues, and patients needs. Strong experience with insurance Strong experience with prior authorizations Physical Requirements Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Location: Intermountain Health Lutheran Hospital Work City: Wheat Ridge Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $19.29 - $27.45 We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click sign in at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Healths PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!