Job Description:

This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patients account within Intermountains policies and procedures.

Practice Details:

As a Referral Rep, you need to know how to:

• Obtain referral request from physician.

• Ensure patients have been cleared for specialty service office visits. Resolve precertification, registration and case-related concerns prior to a patient's appointment. Verify insurance coverage or lack thereof for patient. Obtain authorizations if needed from insurance coverage.

• Gather pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient's financial obligations for services provided.

• Complete referral paperwork, including copies, and fax to medical office.

• Contact patient regarding referral information and give name, location, telephone number of specialist.

• Return referral to physician for signature of completion.

• Act as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral sources.

• Cover as a Patient Service Representative as needed.
  

Minimum Qualifications

Required
High School diploma or equivalent is required

• Minimum of one (1) year of front office or revenue cycle experience in a healthcare organization, required

• Demonstrated understanding of health insurance and medical costs, required

• Proficient computer and communication skills, required
  

Preferred

One (1) year customer service experience is preferred One (1) year experience in related/medical field is preferred Understanding of Medical Terminology is preferred
To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. 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.
1. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
2. Excellent customer service skills, in person and via telephone.
3. Ability to work in a fast-paced environment.
4. Ability to multitask.
5. Strong organizational skills and attention to detail.
6. Ability to maintain confidential information.
7. Contributes to a positive work environment that is supportive of co-workers and patients needs.
8. The employees dependability in reporting for work as scheduled and on-time.

Physical Requirements:

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location:

St Marys Medical Center

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.

$16.00 - $22.57

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 our commitment to diversity, equity, and inclusion .