Referral Specialist

• 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

Explore Referral Specialist at IMH. Review requirements and application details.