Care Team Referral Coordinator

Advocate Health Care; Crystal Lake (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Advocate Health Care's Advocate Medical Group in Illinois is seeking a Referral Coordinator to coordinate referral requests, ensure necessary documentation, certifications, and authorizations, and process referrals using the automated managed care information system. The role is Monday–Friday, 8A–5P, supporting providers and patients and ensuring a seamless, compassionate experience daily.

You will interact with physicians, staff, and managed care organizations to obtain approvals and facilitate

Qualifications

• H.S. diploma or G.E.D. required.
• 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

• Monday-Friday 8A-5P.
• As a Referral Coordinator, you’ll play a vital role on 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:
• 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 (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.

Skills

Medical terminology

Education

High school diploma or GED

Job description

Advocate Health Care's Advocate Medical Group in Illinois is seeking a Referral Coordinator to coordinate referral requests, ensure necessary documentation, certifications, and authorizations, and process referrals using the automated managed care information system. The role is Monday–Friday, 8A–5P, supporting providers and patients and ensuring a seamless, compassionate experience daily.

You will interact with physicians, staff, and managed care organizations to obtain approvals and facilitate