Healthcare Referral Coordinator - Onsite

Job Description

Healthcare Referral Coordinator is responsible for managing and coordinating referrals for patients within an assigned portfolio of clinics and hospitals.

The Healthcare Referral Coordinator ensures that insurance requirements are met for specialist consultations, or other healthcare services within Intermountain Health.

This role involves liaising between patients, healthcare facilities, insurance companies, and specializes in facilitating the referral process.

The coordinator ensures that all necessary documentation is complete, authorizations are obtained, and the referral process aligns with insurance policies and guidelines.

Work Schedule : Monday - Friday, 8 : 45 AM -5 : 15 pm; No major Holidays / No Weekends .

Obtains referral request from physician.

Ensures patients have been cleared for specialty service office visits. Resolves pre- certification, registration and case-related concerns prior to a patient's appointment.

Verifies insurance coverage or lack thereof for patient. Obtains authorizations if needed from insurance coverage.

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

Completes referral paperwork, including copies, and fax to medical office.

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

Returns referral to physician for signature of completion.

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

Covers PSR position as needed.

Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.

Performs other duties as assigned.

Minimum Qualifications

High school diploma or equivalent is required

One (1) year front office or revenue cycle experience in a health care organization is required

Preferred Qualifications

Bilingual - Spanish / English preferred

Physical Requirements :

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy.
• This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment.
• Typically includes items of varying weights, up to and including heavy items.

Anticipated job posting close date :

08 / 14 / 2024

Location :

Lutheran Medical Center

Work City : Wheat Ridge

Wheat Ridge

Work State : Colorado

Colorado

Scheduled Weekly Hours :

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$ - $

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;

and our commitment todiversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.