Referral Coordinator

Primecare Community Health•Chicago, IL

22h•$17 - $23•Onsite

About The Position

The Referral Coordinator is responsible for obtaining authorization and communicating with patients and providers about referrals generated by PrimeCare providers. This role involves utilizing the electronic medical record referral workqueue and reports to complete and obtain authorization for specialist referral orders, as well as imaging and procedure orders. The coordinator will prepare referral forms, transmit required information to specialists, and submit referral information to insurance companies for prior authorization. Key responsibilities include communicating with patients and providers to gather necessary information, inform them of referral status and any delays, and assist in scheduling appointments when needed. The role also requires identifying in-network providers for appropriate specialties and ensuring adherence to all regulations, policies, and work practices.

Requirements

Excellent written and verbal communication skills.
Strong computer skills with proficiencies in Outlook, Word, PowerPoint, Excel, internet-based applications, and the Microsoft operating system.
Ability to work effectively and independently.
Understanding and appreciation for diversity among patients and employees.
Excellent customer service skills.
Work in a team-oriented environment with a variety of professionals with different work styles and support needs.
Ability to see how one’s work intersects with that of other departments of PrimeCare Community Health and those of partner organizations.

Nice To Haves

Bilingual in English and Spanish or Polish preferred.

Responsibilities

Use the electronic medical record referral workqueue and referral reports to complete and obtain authorization of specialist referral orders, and imaging and procedure orders.
Prepare referral forms and transmit required information to specialists. Submit referral information to insurance companies for prior authorization.
Communicate with patients and providers to obtain any needed information for referral completion, and to inform of any unanticipated delays.
Identify in network providers for appropriate specialty and arrange appointments as necessary.
Document and inform patient of referral status. Communicate with patients and providers to obtain any needed information for referral completion. If needed, assist in scheduling appointments.
Conform with and abide by all regulations, policies, work practices and instructions.
Other duties and responsibilities as assigned.

Benefits

27 days of PTO each year, accrued each pay period
3 personal days
1 floating holiday
8 paid holidays
Medical/Dental/Vision coverage available the 1st of the month following 30 days
Company-paid life, short-term disability, and long-term disability coverage
Discretionary 403(b) match and profit sharing after meeting service requirements
Flexible spending accounts
Accident & critical illness coverage
Pet insurance