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Referral Specialist

Job not on LinkedIn

🔥 1 minute ago

⛰️ Colorado – Remote

infoinfo

💵 $19 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on IMH's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

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

• Process insurance pre-authorizations for primary and specialty service visits and testing • Gather information from patients, providers, insurance carriers, and staff to confirm financial obligations • Act as liaison between clinical staff, health plans, providers, and patients • Verify insurance coverage and obtain required authorizations • Document referral information, communications, actions, and authorization progress in electronic medical systems • Process internal, external, and outbound referrals through electronic medical records • Assemble, research, and triage patient demographic, insurance, and medical information • Track referrals and maintain detailed documentation to promote team awareness and patient safety • Route inbound referrals according to regulatory and specialty department requirements • Coordinate prior-authorization details for visits and procedures • Coordinate provider peer-to-peer interactions for insurance approvals • Generate cost estimates and direct patients to financial counseling resources • Contact insurance representatives or contracted review organizations and present medical information • Advocate for patients to obtain timely approval of necessary services • Collaborate with Patient Service Representatives, Clinical Staff, and Payer Relations • Provide documentation for denials and appeals • Use insurance platforms and medical records systems for accurate data entry, retrieval, and reporting • Meet performance standards and volume metrics while aligning with organizational values

🎯 Requirements

• Computer literacy ensuring accuracy and timeliness • Ability to work well with coworkers and patients • Ability to collaborate with multiple teams • Ability to write clearly and professionally • Thorough, precise, and detail-oriented work style • Knowledge of Microsoft Word, Outlook, Excel, and OneNote • Medical terminology knowledge preferred • Experience with electronic medical records (EPIC) preferred • CNA, MA, EMT, healthcare, or health plan experience preferred • Referral coordination experience preferred • Bilingual Spanish preferred • Ability to meet physical requirements, including frequent computer use, communication, lifting, walking, and transporting patients or supplies • Ability to work Monday–Friday during business hours • Must reside outside California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Washington

🏖️ Benefits

• Benefits eligible • Generous benefits package covering programs for wellness, health, security, connection, and engagement • Flexible work options where approved and stated in the job posting • Company equipment and remote-work support referenced in remote work expectations

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