Referral Coordinator - Family Medicine Clinic - Per Diem

Advocate Health and Hospitals Corporation • Park Ridge, IL

10h • Onsite

About The Position

As a Referral Coordinator, you will 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. You will 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. You will generate necessary correspondence or calls to patients, physicians, office staff, managed care organizations, or vendors requesting additional information and requirements for referral authorization. You will prepare correspondence, input referral information in the automated system, collect additional medical necessity supporting documentation, and provide it to the appropriate parties for approval. You will also identify 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.

Nice To Haves

• Ability to work independently.
• Ability to handle stress and high workload volumes.
• Ability to communicate denial of services to members and providers.

Responsibilities

• Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
• Process referrals for patients based on primary care physician orders and follow-up specialist services recommended.
• Generate necessary correspondence or calls to patients, physicians, office staff, managed care organizations, or vendors requesting additional information and requirements for referral authorization.
• Prepare correspondence, input referral information in the automated system, collect additional medical necessity supporting documentation and provide to appropriate parties for approval.
• Identify 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

• 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

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED