Referral Specialist I

Direct Staffing Inc; Deerfield (IL); On-site; USD 20,664 - 23,419; Full time

Benefits offered by this job

Competitive hourly pay rate

Online continuing education

Weekly checks

Job summary

A major staffing agency is seeking a Referral Specialist I in Deerfield, IL. Responsible for managing clinical referrals and acting as a liaison between healthcare providers and patients. Candidates must have excellent customer service skills and experience in a healthcare environment, preferably in a call center. The position offers a competitive hourly wage of $16.25, and flexibility is required for training hours. This is a temp-to-perm opportunity with personal interviews commencing soon.

Qualifications

• 1–3 years experience in a healthcare environment preferred.
• Call center experience with medical background preferred.
• Must have medical terminology experience.

Responsibilities

• Manage clinical referrals for pre-authorization.
• Act as a liaison between hospitals, health plans, and patients.
• Verify insurance coverage and document actions in the system.

Skills

Customer service skills

Telephone skills

Oral and written communication skills

Critical thinking skills

Attention to detail

Education

High school diploma

Job description

Job Description

Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as a Referral Specialist I position in a Fortune 500® corporation located in Deerfield, IL!

By working with Kelly in this role, you would be eligible for:

• A competitive hourly pay rate with weekly checks
• Online continuing education via the Kelly Learning Center
• And more!

Pay Rate: $16.25 per hour

Shift: 9:30 a – 6 p, Monday through Friday (requires flexibility in hours of availability for training)

Important information: This position is recruited by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must use the “submit now” button below.

SUMMARY:

Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services. Acts as a liaison between hospitals, physicians, health plans, vendors and patients.

Major Job Duties and Responsibilities

• Initiates and manages clinical referrals for pre‑authorization.
• Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews referrals for completeness and follows up for additional information if necessary.
• Assigns referrals to staff as appropriate.
• Verifies insurance coverage and obtains authorizations if needed from insurance plans.
• Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enters referrals, documents communications and actions in system.

Education / Experience

Requires high school diploma and 1–3 years experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.

Skills

Excellent customer‑service and telephone skills required. Excellent oral and written communications skills required.

Additional Details

This position will be in a team environment contact center supporting a non‑clinical department. 1 year call center experience required with medical background preferred (CNA, Medical Insurance, etc.). Must have medical terminology experience and a basic understanding of the human body. Position involves taking and processing medical information from doctor’s offices, medical facilities, etc. This person will receive 70‑80 calls/day on average and must provide excellent customer service and be able to communicate well. The ability to work independently, have a great attention to detail, and utilize critical thinking skills are required. Must be able to receive and apply feedback from management as metrics are used to gauge performance. Candidates must be able to talk and type at the same time as speed and accuracy in data entry is extremely important. Must also be able to manage change and be flexible under pressure. Dual monitors are used and up to 4 applications can be used simultaneously. There is a 6‑week training program. At the 3rd week of training workers will be paired with a mentor. Flexibility in working hours is a must as hours may change during training. Personal interviews will be conducted. Hiring manager will review resumes beginning May 9, 2017 and will start scheduling interviews at this time. This is a temp‑to‑perm position for the right candidates!