Contact Center Referral Specialist I
| Company | Intermountain Healthcare |
|---|---|
| Location | Wheat Ridge, CO, USA |
| Salary | $18.81 – $26.65 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- Demonstrated experience using multiple business software applications and insurance web portals simultaneously
- Prior experience in healthcare
Responsibilities
- Establish collaborative relationships with patients and fellow caregivers to deliver customer/patient satisfaction
- Foster relationships with patients, parents, and guardians regarding patient care
- Ensure compliance with managed care, commercial insurance, and public insurance requirements
- Submit and track referrals
- Provide efficient patient flow and service excellence
- Identify and resolve patient, provider, and staff requests
- Use analytical skills and technical resources to anticipate and resolve patient requests
- Verify eligibility and benefits; obtain authorizations, and track referrals
- Act as a liaison between hospitals, physicians, health plans, vendors, and patients
- Gather pertinent information from insurance carriers and financial counselors
- Document appropriate and complete information within the referral shell
- Follow the three-touch process to reach out to patients
- Forward all pertinent medical records and authorization information to the provider’s office
Preferred Qualifications
- Associate or higher level degree
- One year of experience with referral services, referral processing, authorization/referral claims administration or a directly related field