Job Description:

　　The Referral Specialist is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual insurances and notify patients.

　　Scope

　　1.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 SCL Health, and abides by service behavior standards.

　　Performs other duties as assigned.

　　Minimum Qualifications

　　Required

　　High school diploma or equivalent is required

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

　　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.

　　Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required

　　Demonstrate understanding of health insurance and medical costs.

　　Excellent customer service skills, in person and via telephone.

　　Strong communication skills.

　　Excellent organizational skills.

　　Proficient computer skills.

　　A team player who handles multiple projects simultaneously in a fast paced environment.

　　Contributes to a positive work environment that is supportive of PSR associates, other colleagues, and patients needs.

　　Physical Requirements:

　　Physical RequirementsOngoing 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:

　　01/29/2024

　　Location:

　　Patterson Primary Care

　　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.

　　$16.24 - $23.69

　　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 (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .

　　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.

　　Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

　　Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

　　To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm_source=Workday&utm_medium=Redirect&utm_campaign=CareerHome_workday) .

　　Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

　　Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

　　We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

　　Learn more about diversity at Intermountain, here. (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/)

　　Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

　　Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

　　The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

　　All positions subject to close without notice.

　　Thanks for your interest in continuing your career with our team!