Referral Representative

Posted Yesterday
Be an Early Applicant
Medford Center, ME
Entry level
Healthtech
The Role
The Referral Representative coordinates patient medical needs, handles referral requests from physicians, ensures patients are cleared for specialty services, verifies insurance coverage, and communicates referral information. They also facilitate paperwork and act as a liaison between healthcare providers and patients.
Summary Generated by Built In

Job Description:

Coordinates medical needs of patients between medical offices.

Schedule - Monday - Friday

  • 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.

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.

Physical Requirements:

    Location:

    Lutheran Medical Center

    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. 

    $18.81 - $26.65

    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.


    All positions subject to close without notice.

    The Company
    Murray, UT
    19,912 Employees
    On-site Workplace
    Year Founded: 1975

    What We Do

    Intermountain Healthcare is a not-for-profit system of hospitals, surgery centers, doctors, and clinics that serves the medical needs of Utah, Idaho, Nevada, Colorado, Montana, and Kansas. Key medical services include cancer, heart, women and newborns, orthopedics, sports medicine, and more.

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