Referral Representative

Job Description:The Referral Specialist is responsible to execute patient
referrals as indicated by physicians, seek authorization as required by
individual insurances and notify patients.

Schedule – Monday – Friday 8-4:30 no weekends, no holidays
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 patients 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 patients
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.

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.

Anticipated job posting close date:09/23/2024

Location:Wellington OB-GYN Clinic

Work City:Grand Junction

Work State:Colorado

Scheduled Weekly Hours:40

The hourly range for this position is listed below. Actual hourly rate
dependent upon experience.$16.24 – $23.69

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 packages for our Idaho,
Nevada, and Utah based caregivers, and for our Colorado, Montana, and
Kansas based caregivers; and our commitment todiversity, quity, and
inclusion.

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.

Our facilities do not discriminate against any person on the basis of race,
color, national origin, disability, or age in admission or access to,
or treatment or employment in, its programs, services or activities, or
on the basis of sex (gender) in health programs and activities