Referral Specialist - Clinic

American Addiction Centers • Park Ridge, IL

3d • $22 - $33 • Onsite

About The Position

As a Referral Specialist, you’ll play a vital role in 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: Management and navigation of the centralized referral process. Responsible for the coordination and monitoring of discharge planning to provide cost effective care and quality outcomes to members in accordance with their benefit coverage guidelines. Participate in education and utilization management activities.

Requirements

• AA Degree or equivalent
• 3-4 years experience in a managed care organization, hospital or physician’s office.

Nice To Haves

• Ability to work under stressful conditions.
• Ability to handle stress and high workload volumes.
• Flexible with work assignments.

Responsibilities

• Management and navigation of the centralized referral process.
• Coordination and monitoring of discharge planning to provide cost effective care and quality outcomes to members in accordance with their benefit coverage guidelines.
• Participate in education and utilization management activities.
• Ability to communicate denial of services to members and providers.
• Ability and willingness to be cross-trained in all referral specialist activities.

Benefits

• Paid Time Off programs
• medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• 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: Full-time
• Career Level: Mid Level
• Education Level: Associate degree