Referral Specialist I

HSHS Medical Group; O'Fallon (IL); Vor Ort; USD 53.010.000 - 76.878.000; Vollzeit

Benefits dieser Stelle

Health insurance

Paid time off (PTO)

Retirement benefits

Education assistance

Adoption assistance

Wellness program

Life insurance

Disability coverage

Zusammenfassung

HSHS Medical Group in Illinois seeks a detail-oriented administrative professional to review scheduled services, determine authorization needs, and document processes for accurate care coordination.

The role supports clinical teams and patients, handles multi-line requests from internal and external customers, and requires 1-2 years in healthcare or clerical roles; CMA preferred.

Qualifikationen

• High School Diploma or equivalent required.
• 1-2 years healthcare or 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.

Aufgaben

• Review scheduled services to determine authorization needs.
• Document process details and data received to ensure services are completed.
• Coordinate treatment plans with clinical teams, treating facilities and patients or caregivers.
• Handle multi-line requests from internal and external customers efficiently and accurately.

Kenntnisse

Customer service

Call center experience

Healthcare clerical

Clinical experience

Ausbildung

High School Diploma or equivalent

Jobbeschreibung

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.

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]