Referral Coordination Specialist – Healthcare Access

Colonial Group; Arlington Heights (IL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Tuition reimbursement and student loan

Comprehensive healthcare coverage

Generous PTO

403(B) retirement plan

Life Insurance

Cross-departmental committees

Job summary

Access Community Health Network (ACCESS) in Arlington Heights, IL is seeking a referrals specialist to support payors, clinics, and patients in processing referrals and authorizations. You will coordinate with providers and staff to ensure timely scheduling and clear communication.

This role requires a high school diploma, 1 year of health-care office experience, EHR familiarity (EPIC preferred), and strong Microsoft Office skills. Bilingual English/Spanish is a plus.

Qualifications

• High school diploma or GED required.
• Minimum 1-year experience in a clinical office or health care environment in patient registration, referrals, medical assisting or customer service required.
• 1-year EHR Systems experience, preferred, EPIC a plus
• Beginning proficiency Microsoft Office Suite (Word, Excel, Outlook)
• Bilingual English/Spanish a plus

Responsibilities

• Process referrals/authorizations to completion according to policy and procedure.
• Assist providers/staff in identifying appropriate in-network providers for referred services.
• Assist patients with questions regarding referrals.
• Coordinate with other departments and facilities to ensure appointments are scheduled and patients have received necessary information for their appointment(s).
• Work/address the referrals that remain open to determine if patient received the referred services; contact provider to obtain consultation notes; contact patients to ensure they receive referred services.
• Build and maintain relationships with Payor/Plan representatives and ACCESS clinic providers and staff; act as a resource to answer questions and solve problems.
• Maintain accurate information regarding external providers contracted with each Payor/Plan.
• Monitor delays in prior authorization process and work with Prior Authorization Department to ensure timely scheduling.
• Monitor referral phases to maintain compliance
• Monitor referral dashboards and work queues daily

Job description

Access Community Health Network (ACCESS) in Arlington Heights, IL is seeking a referrals specialist to support payors, clinics, and patients in processing referrals and authorizations. You will coordinate with providers and staff to ensure timely scheduling and clear communication.

This role requires a high school diploma, 1 year of health-care office experience, EHR familiarity (EPIC preferred), and strong Microsoft Office skills. Bilingual English/Spanish is a plus.