Intake Referral Specialist

Advocate Aurora Health; Elmhurst (IL); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Patient Access Representative for their Elmhurst location. This role involves handling referrals, providing exceptional customer service, and ensuring proper documentation and reimbursement processes. Ideal candidates will possess strong communication skills, detailed knowledge of medical billing, and experience in a fast-paced environment. Join a supportive team committed to high-quality patient care.

Benefits

Paid Time Off programs

Health and wellness benefits

Flexible Spending Accounts

Educational Assistance Program

Qualifications

• 5 years experience in medical billing, collections, or customer service.
• Knowledge of billing and third party reimbursement.
• Ability to operate data entry keyboard and calculator.

Responsibilities

• Handles referrals and inquiries for HME and Respiratory services.
• Provides quality customer service to patients and related parties.
• Participates in performance improvement initiatives.

Skills

Communication

Customer Service

Data Entry

Knowledge of Medical Terminology

Organizational Skills

Education

High School Diploma or GED

Job description

Department:

10422 RT/HME: Elmhurst - Patient Access

Status:

Full time

Benefits Eligible:

Yes

Hou rs Per Week:

40

Schedule Details/Additional Information:

hours are 830-5

Major Responsibilities:

• Takes and receives referrals and inquiries for HME and Respiratory services in accordance with established policies and admission criteria. Insures the timely and efficient transmission of referrals to appropriate operational areas that will have a direct impact on customer satisfaction, increased cash and revenue, and reduced bad debt write off.
• Provide quality customer service for all customers, including patients, physicians. Referral sources and coworkers within Advocate Health Care, Advocate at Home and external customers.
• Be proficient in the use of the computerized resources and data entry programs involving proper processing and qualifying of patients with clients with HME/RT needs.
• Identify, investigate and verify sources of reimbursement and make recommendations based on the information obtained.
• Provide pricing information to explain the financial responsibility to patients.
• Participate in performance improvement and patient satisfaction initiatives.

Education/Experience Required:

• High School Diploma or General Education Degree (GED).
• 5 years medical billing or collections, medical claims processing experience, insurance verification or home care customer service.
• Demonstrated knowledge of medical terminology and DX coding.
• 1-3 years Knowledge of HME/RT equipment.
• Understanding of third party payors, including Medicare, Medicaid and private insurance companies.
• Some medical data entry experience.

Knowledge, Skills & Abilities Required:

• Ability to operate data entry keyboard and 10 key calculator
• Working knowledge of PC with experience in work processing or spreadsheet applications.
• Good math skills.
• Good knowledge of billing and third party reimbursement.
• Ability to understand broader scope of operations and adapt to changes accordingly.
• Excellent communication and organizational skills.
• Including good diction and handling language skills.
• Proficient in English language skills.
• Excellent customer service skills and phone etiquette.
• Orientation to detail and accuracy
• Computer/data entry experience.
• Ability to perform in a fast pace, diverse environment.
• Ability to multi-task and meet deadlines.
• Requires minimal supervision.
• Adapts approach in all interactions.

Physical Requirements and Working Conditions:

• Travel to other Advocate locations and outside seminars and meetings in all weather conditions on all types of roads. Ability to work flexible hours with possibility of overtime throughout the month. Ability to work independently and interface with a variety of administrative staff. Ability to identify and set priorities. Ability to know when to and then seek assistance from Supervisor or manager. Ability to work under deadlines and time constraints Ability to make decisions within specified scope of position. Ability to work flexible hours that include but not limited to: Week days, week nights, Week end, holidays, and overtime when needed. Flexible with schedule, on-call coverage, weekends and flexible hours. Ability to work in a team environment.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Pay Range

$22.50 - $33.75

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• 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

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, andShort- 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

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.