Referral Coordinator- ACCESS Genesis

Socket.dev; Des Plaines (IL); On-site; USD 36,000 - 60,000; 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 is seeking a detail-oriented Referral Coordinator to join our patient-centered team in Illinois. You will process referrals and authorizations, assist ACCESS clinics in finding in-network providers, and support patients with questions about referrals.

Strong communication with payors and familiarity with EHR systems are preferred. Bilingual English/Spanish is a plus, and you will work with multiple departments to ensure timely scheduling and complete referrals while upholding ACCESS

Qualifications

• High school diploma or GED required.
• Minimum 1 year in a clinical office or health care setting.
• 1 year EHR experience, EPIC preferred.
• Bilingual English/Spanish a plus.
• Starting proficiency with Microsoft Office Suite.

Responsibilities

• Process referrals/authorizations to completion per policy.
• Assist clinics in identifying in-network providers for referred services.
• Answer patient questions regarding referrals.
• Coordinate with departments to schedule appointments and relay information.
• Monitor open referrals and contact providers/patients per policy.
• Maintain relationships with payor/plan representatives and ACCESS clinic staff.
• Keep accurate data on external providers contracted with payors/plans.
• Monitor delays in prior authorization and coordinate with Prior Authorization.
• Monitor referral dashboards and work queues daily.

Skills

Customer service

Bilingual English/Spanish

Referral processing

Office administration

Education

High school diploma or GED

Tools

EPIC

Microsoft Office

Job description

We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.

Who We Are

If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff are committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients that count on ACCESS as their medical home each year.

Position Summary

• Work with Payors/Plans to process referrals/authorizations to completion according to policy and procedure.
• Assist Access Clinic 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 the necessary information for their appointment(s).
• Work/address the referrals that remain open to determine if patient received the referred services. Contact Referred to provider to obtain consultation notes. Contact patients per established policy and procedure to ensure they receive referred services. Close referrals per established policy and procedure.
• 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 which external providers are contracted with each Payor/Plan.
• Monitor for delays in the prior authorization process and works with the Prior Authorization Department to ensure timely scheduling.
• Monitor referral phases to maintain compliance
• Monitor referral dashboards and work queues daily

Requirements

• 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
• Bilingual English/Spanish a plus
• Beginning proficiency Microsoft Office Suite (Word, Excel, Outlook)

Benefits

• Tuition reimbursement and student loan forgiveness programs for qualifying individuals
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on positionapplied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated,or apply forreligious and/or medicalvaccination exemption as a part of theapplicationprocess.

The pay ranges provided represent the minimum to mid-range for positions. Actual compensation will be determined based on a combination of factors including years of experience, educational background, marketconditions, and available grant funding.