Referral Coordinator - Clinic

Advocate Health•Chicago, IL

1d•$22 - $33•Onsite

About The Position

The Referral Coordinator position is responsible for coordinating all referral requests and following up on all necessary documentation, certification and authorization requirements. A key responsibility is using the automated managed care information system to process referrals. As a Referral Coordinator, you’ll play a vital role on the care team – supporting providers, connecting with patients, and helping ensure a seamless, compassionate experience every day. As a key member of the ambulatory care team, you will: Collect all referrals from medical staff daily and obtain any necessary approvals from attendings. Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended. Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization. Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval. Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.

Requirements

H.S. diploma or G.E.D.
3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience
Excellent medical terminology comprehension and its effective usage
Completion of 1 Medical Terminology class with certificate of completion.

Responsibilities

Coordinating all referral requests and following up on all necessary documentation, certification and authorization requirements.
Using the automated managed care information system to process referrals.
Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended.
Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization.
Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval.
Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program