Medical Services & Referrals Specialist

Howard Brown Health; Chicago (IL); On-site; USD 29,000 - 30,000; Full time

Benefits offered by this job

3-weeks paid vacation

1-week personal time

Sick days

Paid holidays

PTO Exchange

Employer-sponsored health insurance

Dental insurance

Vision insurance

401k with employer match

Life insurance

Disability coverage

Commuter allowance

FSA for healthcare and dependent care

Tuition Reimbursement

Student Loan Forgiveness Programs

Job summary

Howard Brown Health in Chicago, IL is hiring a Medical Services Representative to handle referrals, medical records, and insurance approvals for prescriptions and services. Under supervision, you will enter referrals, collect records, scan documents, and coordinate with providers and referral teams to support timely patient care.

The role emphasizes HIPAA compliance, superior customer service, and accurate data entry.

Qualifications

• Minimum of a High school diploma.
• Experience in customer facing customer service positions.
• Two of the three are required.
• Minimum 1 year of recent Medical records and/or medical data entry required.
• Minimum 1 year of recent Verifying medical insurance.
• Minimum 1 year of recent referral coordination.
• Minimum 1 year of recent experience in CPT 10 and ICD-12 coding.
• Excellent oral and written communication skills.

Responsibilities

• Prepares and maintains medical and behavioral health charts/records, forms, registration materials, and other related documents, including data entry and retrieval in a timely manner and reviews and audits for accuracy in accordance to HIPAA.
• Generates patient referrals to medical specialists as ordered by Primary Care Providers (PCP), using the appropriate channels as dictated by the patient’s health insurance carrier within specific time frames.
• Safeguards confidentiality of the medical and behavioral health charts/records and complies with all local, state, and federal laws pertaining to medical records.
• Participates as a team member with Medical Services staff, attending Medical Services meetings and continuing education in-services and assisting all team members with department duties and needs
• Assists with telephone calls to Medical Services by pulling medical charts/records for patients as needed as well as releases of information and requests for medical records.
• Focuses on customer’s well-being and HIPAA compliance
• Verifies insurance benefits for patients. Upon change of insurance coverage, documents covered benefits on the insurance verification form.
• Participate in agency wide quality assurance and improvement as needed.
• Assists patients in scheduling appointments for referrals when needed.
• Maintains established department procedures, objectives, and quality assurance, safety, environmental, and infection control and suggests corrections or process improvements
• Adheres to HBHC Core Values and Superior Customer Service Expectations.
• Participates in emergency preparedness plan as dictated by the policy and procedures.
• Performs other duties as assigned.
• Must be able to travel sometimes to different locations.

Skills

Customer service

Communication

Attention to detail

Team collaboration

Education

High school diploma

Tools

Medical records software

Medical coding (CPT/ICD-10/ICD-12)

Job description

Howard Brown Health in Chicago, IL is hiring a Medical Services Representative to handle referrals, medical records, and insurance approvals for prescriptions and services. Under supervision, you will enter referrals, collect records, scan documents, and coordinate with providers and referral teams to support timely patient care.

The role emphasizes HIPAA compliance, superior customer service, and accurate data entry.