Referral Specialist I

HMI HSHS Medical Group, Inc.; O’Fallon (MO); On-site; USD 25,000 - 37,000; Full time

Benefits offered by this job

Health insurance

PTO

Retirement benefits

Education assistance

Adoption assistance

Wellness program

Life insurance

Disability coverage

Flexible spending accounts

Employee assistance program

Discount program

Job summary

HSHS Medical Group, Inc. is seeking a detail-oriented healthcare administrative professional. The role supports scheduling, documentation, and coordination between clinical teams, facilities and patients to ensure timely and accurate service authorizations.

Candidates should have 1–2 years of healthcare/clerical/administrative experience, strong customer service, and prefer CMA certification. This full-time position offers comprehensive benefits and opportunities within a large health system.

Qualifications

• High School Diploma or equivalent required.
• 1-2 years of healthcare/clerical/administrative experience required.
• 1-2 years of customer service experience required.
• 1-2 years of call center experience preferred.
• 1-2 years of clinical experience preferred.
• Certified Medical Assistant preferred.

Responsibilities

• Coordinate treatment plans with clinical teams, facilities and patients or caregivers.
• Document processes and data accurately for authorization of services.
• Handle multi-line requests from internal and external customers.
• Review scheduled services to determine authorization needs.

Skills

Healthcare experience

Clerical experience

Customer service

Call center experience

Clinical experience

Education

High School Diploma or equivalent

Certified Medical Assistant

Job description

Pay Range

$18.50 - $26.83 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. Reviewing scheduled services of ancillary, specialty services or procedural referrals submitted throughout the division to determine authorization needs. Accurate documentation of process details and data received to ensure services are completed. Coordination of treatment plan with clinical teams, treating facilities and patients or their care givers. Accurately and efficiently handle multi-line requests from internal and external customers.

Education Qualifications

High School Diploma or equivalent is required Experience Qualifications 1-2 years of healthcare or clerical/administrative experience is required. 1-2 years of customer service experience is required. 1-2 years of call center experience is preferred. 1-2 years of clinical experience is preferred. Certifications, Licenses and Registrations Certified Medical Assistant is preferred.

Job Description

Scheduled Weekly Hours: 40 Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a healthcare system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.

Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 11,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.

Benefits

• Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health.
• Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
• Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
• Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
• Retirement benefits including HSHS contributions.
• Education Assistance benefits include up to $5,250 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
• Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
• Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!

Benefits HSHS and affiliates is an Equal Opportunity Employer (EOE). HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.

Notice Regarding Potential Use of Artificial Intelligence in the Hiring Process

Hospital Sisters may use automated tools, including artificial intelligence or machine-learning technologies, to assist with certain administrative aspects of the recruitment process. These tools may help our recruiting team organize applications, search for resumes, identify qualifications reflected in application materials, and facilitate communications or scheduling with applicants. Information used by these tools may include materials you provide during the application process, such as your resume, work history, education, qualifications, and responses to application questions. These tools are used only to support our recruiting process. Hiring decisions are made by HSHS personnel, and automated tools do not make employment decisions on behalf of HSHS. Applicants who have questions about this notice or who require a reasonable accommodation or alternative evaluation method may contact HSHS Human Resources at [e-mail]

COVID-19 Vaccination Requirement

HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues. This does not apply to positions that are classified as 100% remote. HSHS and affiliates is an Equal Opportunity Employer (EOE). HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.