Patient Referral Specialist

Primecare Community Health; Chicago (IL); On-site; USD 14,000 - 32,000; Full time

Benefits offered by this job

PTO 27 days

Personal days

Floating holiday

Paid holidays

Medical/Dental/Vision

Life insurance

Disability insurance

403(b) match

Flexible spending accounts

Accident & critical illness coverage

Job summary

PrimeCare CommunityHealth in Chicago, IL is seeking a Patient Referral Specialist to manage referral authorizations and coordinate communication between patients, providers, and specialists. The role focuses on ensuring timely referrals and accurate information flow within the network.

The position requires strong Microsoft Office skills, excellent communication, and the ability to work independently in a fast-paced healthcare setting.

Qualifications

• Excellent written and verbal communication skills.
• Strong computer skills with proficiency in Outlook, Word, PowerPoint, Excel.
• Ability to work effectively and independently.
• Understanding and appreciation for diversity among patients and employees.
• Bilingual in English and Spanish or Polish preferred.

Responsibilities

• Use the electronic medical record referral workqueue and referral reports to complete and obtain authorization of specialist referral orders, and imaging and procedure orders.
• Prepare referral forms and transmit required information to specialists. Submit referral information to insurance companies for prior authorization.
• Communicate with patients and providers to obtain any needed information for referral completion, and to inform of any unanticipated delays.
• Identify in network providers for appropriate specialty and arrange appointments as necessary.
• Document and inform patient of referral status. Communicate with patients and providers to obtain any needed information for referral completion. If needed, assist in scheduling appointments.
• Conform with and abide by all regulations, policies, work practices and instructions.
• Other duties and responsibilities as assigned.

Skills

Communication

Microsoft Office

Independent work

Diversity awareness

Teamwork

Bilingual EN/ES/PL

Tools

Outlook

Word

PowerPoint

Excel

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Chicago, IL, US

Salary Range: $17.05 To $22.50 Hourly

Position Summary

The Patient Referral Specialist is responsible for obtaining authorization and communicating with patients and providers about referrals generated by PrimeCare providers.

Duties and Responsibilities

• Use the electronic medical record referral workqueue and referral reports to complete and obtain authorization of specialist referral orders, and imaging and procedure orders.
• Prepare referral forms and transmit required information to specialists. Submit referral information to insurance companies for prior authorization.
• Communicate with patients and providers to obtain any needed information for referral completion, and to inform of any unanticipated delays.
• Identify in network providers for appropriate specialty and arrange appointments as necessary.
• Document and inform patient of referral status. Communicate with patients and providers to obtain any needed information for referral completion. If needed, assist in scheduling appointments.
• Conform with and abide by all regulations, policies, work practices and instructions.
• Other duties and responsibilities as assigned.

Required Skills or Abilities

• Excellent written and verbal communication skills.
• Strong computer skills with proficiencies in Outlook, Word, PowerPoint, Excel, internet-based applications, and the Microsoft operating system.
• Ability to work effectively and independently.
• Understanding and appreciation for diversity among patients and employees.
• Work in a team-oriented environment with a variety of professionals with different work styles and support needs.
• Ability to see how one’s work intersects with that of other departments of PrimeCare CommunityHealth and those of partner organizations.
• Bilingual in English and Spanish or Polish preferred.
• 27 days of PTO each year, accrued each pay period
• 3 personal days
• 1 floating holiday
• 8 paid holidays
• Medical/Dental/Vision coverage available the 1st of the month following 30 days
• Company-paid life, short-term disability, and long-term disability coverage
• Discretionary 403(b) match and profit sharing after meeting service requirements
• Flexible spending accounts
• Accident & critical illness coverage

All wages are based on relevant years of experience. The minimum rate is the wage a candidate with no additional experience will earn.

PrimeCare Health is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants . T herefore, PrimeCare does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.