Referral Coordination Specialist: Bridge to Care

Access Community Health Network; Des Plaines (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Access Community Health Network (ACCESS) is hiring to coordinate referrals and authorizations within a network of Federally Qualified Health Centers. You will assist providers, guide patients on referral processes, and maintain timely communication across departments to ensure patients receive the necessary services.

This role requires attention to detail, experience with EHR systems, and the ability to work with diverse populations.

Qualifications

• High school diploma or GED required.
• Minimum 1 year experience in a clinical office, health care, patient registration, referrals, medical assisting, or customer service.

Responsibilities

• Process referrals/authorizations with Payors/Plans per policy.
• Assist in-network provider identification for referred services.
• Answer patient questions about referrals.
• Coordinate scheduling and ensure patients have necessary appointment information.
• Follow up on open referrals to confirm services were received.
• Build relationships with Payor/Plan representatives and ACCESS clinic staff.
• Monitor prior authorization delays and coordinate with the relevant department.
• Track referral statuses and maintain dashboards.

Skills

Referral coordination

Customer service

EHR experience

Bilingual English/Spanish

Office suite

Education

High school diploma or GED

Tools

EPIC EHR

MS Office

Job description

Access Community Health Network (ACCESS) is hiring to coordinate referrals and authorizations within a network of Federally Qualified Health Centers. You will assist providers, guide patients on referral processes, and maintain timely communication across departments to ensure patients receive the necessary services.

This role requires attention to detail, experience with EHR systems, and the ability to work with diverse populations.