Ambulatory Referral Coordinator

aah; Crystal Lake (IL); On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plans

Job summary

Advocate Health is seeking a Referral Coordinator to manage referrals in our Crystal Lake ambulatory care setting. You will coordinate requests, gather documentation, and ensure authorizations are obtained using our automated managed care system.

The ideal candidate holds a high school diploma or GED, has 3–4 years in a managed care environment with 1 year in referral work, and demonstrates strong medical terminology knowledge.

Qualifications

• HS diploma or GED.
• 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.

Responsibilities

• Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
• 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.
• Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization.
• Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval.
• Identifies potential problems with payment of charges from referral by communication with PHO and other managed care specialists.

Skills

Medical terminology

Referral coordination

Education

High school diploma

Tools

Referral management software

Job description

Advocate Health is seeking a Referral Coordinator to manage referrals in our Crystal Lake ambulatory care setting. You will coordinate requests, gather documentation, and ensure authorizations are obtained using our automated managed care system.

The ideal candidate holds a high school diploma or GED, has 3–4 years in a managed care environment with 1 year in referral work, and demonstrates strong medical terminology knowledge.