Referral Coordinator- ACCESS Genesis

ACHN • Des Plaines, IL

2d

About The Position

The Referral Coordinator works with payors and health plans to process referrals and authorizations through completion in accordance with established policies and procedures. The role assists clinic providers and staff in identifying appropriate in-network providers and helps patients with referral-related questions.

The coordinator works with other departments and facilities to ensure appointments are scheduled and patients receive the information they need. They follow up on open referrals to determine whether patients received referred services, obtain consultation notes from providers, contact patients as required, and close referrals according to policy. The position also maintains relationships with payor representatives and clinic teams, keeps contracted-provider information accurate, monitors authorization delays and referral progress, and reviews referral dashboards and work queues daily.

Requirements

• High school diploma or GED.
• At least 1 year of experience in a clinical office or healthcare environment in patient registration, referrals, medical assisting, or customer service.
• Beginning proficiency with Microsoft Office Suite, including Word, Excel, and Outlook.

Nice To Haves

• 1 year of EHR systems experience; EPIC experience is a plus.
• Bilingual English/Spanish.

Responsibilities

• Process referrals and authorizations with payors and plans through completion according to policy and procedure.
• Help clinic providers and staff identify appropriate in-network providers for referred services.
• Assist patients with questions about referrals.
• Coordinate with departments and facilities to schedule appointments and ensure patients receive the necessary appointment information.
• Follow up on open referrals to determine whether patients received the referred services.
• Contact referred-to providers to obtain consultation notes.
• Contact patients according to established policy and procedure to ensure they receive referred services.
• Close referrals according to established policy and procedure.
• Build and maintain relationships with payor and plan representatives and clinic providers and staff; answer questions and help solve problems.
• Maintain accurate information about external providers contracted with each payor or plan.
• Monitor prior-authorization delays and work with the Prior Authorization Department to support timely scheduling.
• Monitor referral phases to maintain compliance.
• Review referral dashboards and work queues daily.

Benefits

• Tuition reimbursement and student loan forgiveness programs for qualifying individuals.
• Comprehensive medical, dental, and vision coverage.
• Generous paid time off.
• 403(B) retirement plan and financial resources to help employees save and plan for retirement.
• Life insurance.
• Opportunity to participate in cross-departmental committees focused on innovating and transforming care delivery and the workplace.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED