Referral Coordinator- Infusion

Advocate Health Care; Crystal Lake (IL); In loco; USD 42.000 - 62.000; Tempo pieno

Descrizione del lavoro

Advocate Health Care's Advocate Medical Group in Illinois is seeking a Referral Coordinator to coordinate referral requests, ensure necessary documentation, certifications, and authorizations, and process referrals using the automated managed care information system. The role is Monday–Friday, 8A–5P, supporting providers and patients and ensuring a seamless, compassionate experience daily.

You will interact with physicians, staff, and managed care organizations to obtain approvals and facilitate

Competenze

• H.S. diploma or G.E.D. required.
• 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience
• Excellent medical terminology comprehension and its effective usage
• Completion of 1 Medical Terminology class with certificate of completion.

Mansioni

• Monday-Friday 8A-5P.
• As a Referral Coordinator, you’ll play a vital role on the care team – supporting providers, connecting with patients, and helping ensure a seamless, compassionate experience every day.
• As a key member of the ambulatory care team, you will:
• Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
• Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended.
• Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization.
• Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval.
• Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.

Conoscenze

Medical terminology

Formazione

High school diploma or GED

Descrizione del lavoro

Job Description Summary

The Referral Coordinator position is responsible for coordinating all referral requests and following up on all necessary documentation, certification and authorization requirements. A key responsibility is using the automated managed care information system to process referrals.

Job Description Summary

The Referral Coordinator position is responsible for coordinating all referral requests and following up on all necessary documentation, certification and authorization requirements. A key responsibility is using the automated managed care information system to process referrals.

Where You Will Work

Advocate Medical Group (AMG) is part of Advocate Health, one of the nation’s largest nonprofit health systems. With more than 350 locations across Illinois and Wisconsin, AMG offers a wide range of specialties and services, including primary care, medical and surgical care, pediatrics, women’s health, behavioral health, and more. Our team is dedicated to delivering exceptional care and improving health outcomes in the communities we serve. Joining AMG means being part of a collaborative, patient-focused environment where innovation and quality care thrive.

We’re Looking For

• H.S. diploma or G.E.D.
• 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience
• Excellent medical terminology comprehension and its effective usage
• Completion of 1 Medical Terminology class with certificate of completion.

What You’ll Do

Monday-Friday 8A-5P

As a Referral Coordinator, you’ll play a vital role on the care team – supporting providers, connecting with patients, and helping ensure a seamless, compassionate experience every day.

As a key member of the ambulatory care team, you will:

• Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
• Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended.
• Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization.
• Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval.
• Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.

Your feedback matters.

Every teammate’s voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.

Physical Requirements And Working Conditions

• Ability to work independently.
• Ability to handle stress and high workload volumes.
• Ability to communicate denial of services to members and providers.
• If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.