Referral Coordinator

Rising Medical Solutions • Chicago, IL

68d • $19 - $22

About The Position

We are looking for a Referral Coordinator (working title: Pre-Clinical Coordinator) to join our team! Are you someone who thrives in a fast-paced environment where your time management, attention-to-detail, and communication skills are put to good use? We might have the perfect entry/mid-level opportunity for you. Join our medically-based concierge service and early intervention program and help impact injured workers lives by coordinating services, providing resources to our constituencies, and helping people when they need it most.

Requirements

• Experience in any of the following disciplines a plus – CNA, Medical Assistant, Physical Therapy Aide, Workers’ Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager.
• Experience with workers' compensation or disability (a plus!).
• Strong computer and internet skills (will work with programs including MS Word, Outlook, and Excel).
• Basic knowledge of/ability to read medical reports, or enthusiastic about learning medical terminology.
• The ability to research evidence-based guidelines.
• Proficient verbal/telephone and written communication skills.
• A high level of efficiency, ability to maintain rapid workflow.
• An aptitude for learning, organization skills and the ability to follow systems and procedures.
• A time-management mindset, along with planning, and prioritization skills.
• The ability to multi-task in a fast-paced environment.
• The ability to work independently as well as part of a team.
• The ability to express empathy with injured and/or disabled people.
• Deductive reasoning and think outside the box for creative solutions.
• Independent thinking & problem-solving experience.
• A bachelor’s degree, or an Associate's/Certification with professional experience.
• A customer service mindset.

Responsibilities

• Manage and/or assign files to appropriate staff members and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers.
• Set up files in all appropriate systems; assign files, when applicable, to the nurse.
• Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and/or in writing of any changes, delays, updates, or problems.
• Maintain appropriate electronic and paper files.
• Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition.
• Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.).
• Identify, maintain, and update participating providers.
• Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into the Ultimate database and customer/client system.
• Answer incoming calls, and direct the call appropriately.
• Process all documents using computer, copier, and scanner.
• Search and copy the appropriate internal criteria guidelines, when appropriate.
• Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration, vs. a new UR.
• Basic invoicing.
• Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research.
• Adhere to company policies, procedures, and reporting requirements.

Benefits

• Profit sharing
• 401k matching
• Generous time off
• Career growth opportunities

What This Job Offers

• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 251-500 employees