Referral Processing Specialist

Advocate Aurora Health•Oak Brook, IL

39d•$20 - $31•Hybrid

About The Position

Provide support to the day-to-day operations of Customer Service Center. When entering referral, correctly identify insurance coverage, investigate and verify sources of reimbursement and make recommendations based on the information obtained. Follows a standardized workflow to support achievement of goals and standards related to referral processing. Team Work.

Requirements

HS diploma
2 years of experience in a medical office setting
Knowledge of medical terminology and health care industry
Knowledge of Medicare/Medicaid and other third party payers.
Strong communication skills (both oral and written).
Able to work effectively with all colleagues, to ensure the seamless referral processing
Ability to work well in a team environment with a positive attitude
Appreciation of the need for and ability to maintain confidentiality
Rational/logical decision making
Ability to prioritize work and work unsupervised for periods of time
Strong interpersonal skills
Ability to take responsibility for processing referrals within timeframes and responding to queries about Medicare, Medicaid and Managed Care Services.
Competent in the use of a range of software packages including Microsoft Office, Word and Excel (used daily)
Ability to follow through on tasks and communicate between and among team members
Ability to respond to callers professionally and courteously.
Ability to express self clearly and assertively, and work in a busy office
Must have experience in a clinical setting and/or experience with Medical Insurance verification
Must have EPIC experience
Must be available to work weekends & up to two major holidays per year, including but not limited to Thanksgiving & Christmas.
Must be able to work both in-office and remotely from home
Must have working Home internet. Must be accessible and able to connect via ethernet cable 100-300Mbps suggested.

Nice To Haves

Call center experience a plus

Responsibilities

Provide support to the day-to-day operations of Customer Service Center.
When entering referral, correctly identify insurance coverage, investigate and verify sources of reimbursement and make recommendations based on the information obtained.
Follows a standardized workflow to support achievement of goals and standards related to referral processing.
Team Work.

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
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance