Contact Center Referral Specialist I

Job not on LinkedIn

🔥 16 hours ago

🎰 Nevada – Remote

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💵 $19 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Call Center Representative

👻 Ghost score 0%

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Logo of IMH

IMH

501 - 1000 employees

Founded 2007

🏗️ Construction

📦 Logistics

🛡️ Insurance

Construction • Logistics • Insurance

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Serve as the first connection between Intermountain and patients • Establish collaborative relationships with patients, parents, guardians, and fellow caregivers • Ensure compliance with managed care, commercial insurance, and public insurance requirements • Submit and track referrals to support efficient patient flow and service excellence • Identify and resolve patient, provider, and staff requests, including referral processing, scheduling/registration, billing/payor inquiries, and medical requests • Use analytical skills and technical resources to resolve patient requests and handle challenging interactions • Recognize and follow procedures for medical and non-medical 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 regarding patients’ financial obligations • Document complete referral information, authorization details, and referral destinations • Follow the three-touch process using MyChart, phone calls, and letters • Forward medical records and authorization information to provider offices

🎯 Requirements

• Demonstrated experience using multiple business software applications and insurance web portals simultaneously • Prior experience in healthcare • Preferred: 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: Strong experience working with medical referrals • Preferred: Strong experience using EPIC • 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 • Ability to work Monday–Friday, 8:00am–5:00pm Pacific Standard Time • Ability to participate in a required Microsoft Teams video interview and potential onsite interviews and meetings

🏖️ Benefits

• Generous benefits package covering programs supporting wellness, healthy living, security, connection, and engagement • Remote work options where approved and stated in the posting • Company equipment and remote-work support subject to Intermountain policies

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