Care Coordination Specialist – Referrals

Hugh Chatham Health; Crystal Lake (IL); Vor Ort; USD 30.000 - 45.000; Vollzeit

Benefits dieser Stelle

Health benefits

PTO

Retirement plan

Educational assistance

Zusammenfassung

Advocate Health is seeking a Referral Coordinator in Illinois to coordinate referrals and ensure all documentation, certifications, and authorizations are complete. The role utilizes an automated managed care system to process referrals and supports providers, patients, and care teams in delivering seamless service.

The candidate will have 3-4 years in a managed care setting or hospital/physician office with referral experience, strong medical terminology, and completion of a medical terminology

Qualifikationen

• H.S. diploma or G.E.D.
• 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.

Aufgaben

• 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.

Kenntnisse

Medical terminology

Referral experience

Managed care

Communication

Ausbildung

High school diploma or GED

Tools

Automated referral system

Jobbeschreibung

Advocate Health is seeking a Referral Coordinator in Illinois to coordinate referrals and ensure all documentation, certifications, and authorizations are complete. The role utilizes an automated managed care system to process referrals and supports providers, patients, and care teams in delivering seamless service.

The candidate will have 3-4 years in a managed care setting or hospital/physician office with referral experience, strong medical terminology, and completion of a medical terminology