Full-Time

Referral Representative

Posted on 11/15/2024

Intermountain Healthcare

Intermountain Healthcare

10,001+ employees

Intermountain Healthcare is a nonprofit health system.

Healthcare

Compensation Overview

$18.29 - $24.26Hourly

Entry, Junior

Denver, CO, USA

Category
Customer Support
Customer Success & Support
Required Skills
Customer Service
Requirements
  • High school diploma or equivalent is required.
  • One (1) year front office or revenue cycle experience in a health care organization 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.
Responsibilities
  • 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.
Intermountain Healthcare

Intermountain Healthcare

View

Company Stage

Grant

Total Funding

$1.8M

Headquarters

Salt Lake City, Utah

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Intermountain Health's expansion into Nevada and Colorado through partnerships and new facilities increases its market presence and accessibility to patients.
  • The $2.4 million NIH grant for cardiac research positions Intermountain Health at the forefront of medical innovation and research.
  • Successful pilot programs, such as the virtual cardiology care with Story Health, highlight Intermountain's ability to improve patient outcomes and operational efficiency.

What critics are saying

  • The rapid expansion and numerous partnerships may strain Intermountain Health's resources and operational capacity.
  • The competitive healthcare landscape requires continuous innovation and adaptation to maintain leadership and avoid being outpaced by rivals.

What makes Intermountain Healthcare unique

  • Intermountain Health's strategic partnerships, such as with Story Health and NeuroFlow, enhance its service offerings in cardiology and behavioral health, setting it apart from other healthcare providers.
  • The organization's focus on innovative care models, like virtual cardiology and behavioral health integration, demonstrates a commitment to cutting-edge healthcare solutions.
  • Intermountain Health's recognition as the top large health system by Fortune Magazine underscores its leadership and excellence in the healthcare sector.

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