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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient care coordination, ensuring compliance with insurance requirements, and utilizing electronic medical records (EMR) for efficient service delivery. Strong analytical and problem-solving skills are essential for resolving patient inquiries and maintaining high customer satisfaction.
Highest-signal resume keywords
Patient Care CoordinationInsurance AuthorizationElectronic Medical Records (EMR)Customer Service SkillsAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical TerminologyData EntryReferral ProcessingSchedulingBillingCompliance VerificationInsurance Web PortalsTechnical Resource UtilizationDocumentationProblem-Solving
Soft Skills
Interpersonal SkillsWritten CommunicationOral CommunicationDetail-OrientedCritical Thinking
Tools & Technologies
MyChartBusiness Software Applications
Industry Keywords
HealthcareManaged CareCommercial InsurancePublic InsurancePatient FlowService Excellence
About the role
Key responsibilities & impact- Establish collaborative relationships with patients and fellow caregivers to deliver high 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 and provide efficient patient flow and service excellence
- Identify and resolve patient, provider, and staff requests, including referral processing, scheduling/registration, billing/payor inquiries, and medical requests
- Use analytical skills and technical resources to resolve patient requests and handle challenging interactions and emergencies appropriately
- Support enterprise productivity and quality initiatives and Intermountain Health key performance indicators
- Verify eligibility and benefits, obtain authorizations, and track referrals for compliance
- Liaise with hospitals, physicians, health plans, vendors, patients, and referral sources for insurance authorization
- Gather insurance, financial, and ancillary information to determine patient financial obligations
- Document referral and authorization information, referral destinations, and coordination activities
- Follow the three-touch process using MyChart, phone calls, and letters
- Forward medical records and authorization information to provider offices
Requirements
What you’ll need- Demonstrated experience using multiple business software applications and insurance web portals simultaneously
- Prior experience in healthcare
- Knowledge of medical terminology
- Computer literacy
- Customer service skills
- Experience with electronic medical records (EMR)
- Data entry skills
- Problem-solving skills
- Written and oral communication skills
- Detail-oriented approach
- Critical thinking and analytical thinking skills
- Interpersonal skills
- Ability to work Monday–Friday, 8:00am–5:00pm Pacific Standard Time
- Ability to work in office as needed in this hybrid position
Benefits
Comp & perks- Generous benefits package covering programs supporting physical, mental, and financial well-being
- Benefits supporting a sustainable culture of wellness, including living healthy, happy, secure, connected, and engaged
- Company equipment and remote-work support for hybrid roles
