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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, including referral processing, insurance authorization, and compliance with healthcare regulations. Proficient in utilizing electronic medical records and business software applications to enhance patient satisfaction and operational efficiency.
Highest-signal resume keywords
Referral ProcessingInsurance AuthorizationElectronic Medical Records (EMR)Customer ServiceCritical Thinking
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 EntryAnalytical ThinkingProblem SolvingDetail Orientation
Soft Skills
Interpersonal SkillsWritten CommunicationOral Communication
Tools & Technologies
Business Software ApplicationsInsurance Web PortalsMyChart
Industry Keywords
HealthcareManaged CarePublic InsuranceCommercial InsurancePatient Flow
About the role
Key responsibilities & impact- Serve as the first connection between Intermountain and patients
- 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 support efficient patient flow and service excellence
- Identify and resolve patient, provider, and staff requests involving referral processing, scheduling/registration, billing/payor inquiries, and medical requests
- Use analytical skills and technical resources to anticipate and resolve patient requests
- Apply critical thinking and problem solving during challenging patient interactions and emergencies
- Support enterprise productivity and quality initiatives and Intermountain Health key performance indicators
- Verify eligibility and benefits, obtain authorizations, and track referrals
- Liaise with hospitals, physicians, health plans, vendors, patients, and referral sources for insurance authorization
- Gather information to determine patients’ financial obligations
- Document authorization information, referral destinations, and coordination details in the referral shell
- Follow the three-touch process using MyChart, phone calls, and letters
- Forward medical records and authorization information to providers’ offices
Requirements
What you’ll need- Demonstrated experience using multiple business software applications and insurance web portals simultaneously
- Prior experience in healthcare
- Medical terminology
- Computer literacy
- Customer service
- Electronic Medical Records (EMR)
- Data entry
- Problem solving
- Written and oral communication
- Detail orientation
- Critical thinking
- Analytical thinking
- Interpersonal skills
- Associate or higher level degree (preferred)
- One year of experience with referral services, referral processing, authorization/referral claims administration or a directly related field (preferred)
- Ability to work Monday–Friday, 8:30am–5:00pm
- Ability to meet stated physical requirements, including computer/phone use, communication, and lifting or transporting equipment
Benefits
Comp & perks- Benefits Eligible
- Comprehensive benefits package covering wellness, health, security, connection, and engagement programs
- Remote work expectations include company equipment provisions