Referral & Insurance Coordinator – Managed Care

Aperion Care; Lincolnwood (IL); On-site; USD 45,000 - 60,000; Full time

Job summary

A skilled nursing facility provider in Lincolnwood, IL, is hiring for a referral coordinator role. This position involves triaging referral requests for skilled care stays and maintaining effective communication with marketing and case management teams. Candidates should have a college degree, experience in skilled nursing facilities, and a solid understanding of claims for Medicare Advantage plans. Strong organizational and problem-solving skills are essential for success in this dynamic role.

Qualifications

• Experience working in a skilled nursing facility.
• Understanding of how claims are paid under Commercial and Medicare Advantage plans for skilled services.
• 2 years MCO insurance experience is preferred.

Responsibilities

• Act as liaison between marketing and case management for referrals.
• Review referral requests for completeness before authorization.
• Perform benefit verifications on all referrals.

Skills

Strong organizational skills

Problem-solving skills

Ability to work on multiple tasks

Self-starter

Education

College Degree

Job description

A skilled nursing facility provider in Lincolnwood, IL, is hiring for a referral coordinator role. This position involves triaging referral requests for skilled care stays and maintaining effective communication with marketing and case management teams. Candidates should have a college degree, experience in skilled nursing facilities, and a solid understanding of claims for Medicare Advantage plans. Strong organizational and problem-solving skills are essential for success in this dynamic role.