Referral Specialist - Park Ridge GI, IL

Harlingen Medical Center; Park Ridge (IL); On-site; USD 10,000 - 60,000; Full time

Job summary

Harlingen Medical Center is seeking a full-time Referral Specialist to manage patient referrals and insurance processes in a clinical setting. Ideal candidates will have strong customer service skills, a background in medical terminology, and the ability to handle multiple tasks effectively. Join a supportive team dedicated to delivering high-quality healthcare services.

Benefits

Paid time off

401K

Medical/dental/vision coverage

Tuition reimbursement

Voluntary benefits

Qualifications

• 2 years of experience in a clinical environment preferred.
• Completion of a medical assistant program desired; certification within 6 months of hire.
• Knowledge of prior authorizations and insurance plans.

Responsibilities

• Act as a liaison between insurance, healthcare providers, and the clinic.
• Schedule referrals, communicate with clinics, patients, and providers.
• Manage prior authorizations and maintain a friendly attitude.

Skills

Medical terminology

Customer service

Organizational skills

Problem-solving

Attention to detail

Telephone etiquette

Education

Medical assistant program

Tools

Electronic Medical Records

Job description

Overview

Company is an equal employment opportunity employer. We prohibit discrimination and harassment based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to law), disability, military status, genetic information, or any other protected category. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The following statements describe the major elements of the position and are not an all-inclusive list of responsibilities, duties, or skills. The Referral Specialist acts as a liaison between insurance, healthcare providers, and the clinic to ensure referrals are processed correctly for medical specialty visits. Responsibilities include scheduling referrals at the request of providers or staff, communicating directly with clinics, patients, and referred providers, reviewing clinical data to report medical necessity to insurance companies, and performing all work aligned with the practice's mission, vision, and values. The Referral Specialist makes referrals to specialists, manages prior authorizations, and fosters positive relationships between the office and specialists. Additional duties include filing/scanning patient reports, retrieving patient records for prior authorizations, and completing insurance prior authorizations. The candidate should have knowledge of referral processes, medical terminology, and insurance plans. Excellent telephone etiquette, patient support skills, and the ability to navigate prior authorizations are essential. The role requires maintaining a positive image of the organization and a friendly attitude towards internal and external customers.

Qualifications

• 2 years of experience in a clinical environment preferred.
• Knowledge of medical terminology preferred.
• Completion of a medical assistant program desired; certification within 6 months of hire.
• Knowledge of Electronic Medical Records systems.
• Excellent phone and customer service skills.
• Positive, customer-friendly attitude.
• Knowledge of prior authorizations and insurance plans.
• Good organizational skills.
• Ability to serve as a patient liaison and navigate the healthcare system.
• Self-starter with multi-tasking ability.
• Problem-solving skills for scheduling and referral issues.
• Attention to detail.
• Ability to adapt to a changing environment.

Prime Healthcare Illinois Medical Group offers competitive compensation and a comprehensive benefits package, including paid time off, 401K, medical/dental/vision coverage, tuition reimbursement, and voluntary benefits. The estimated total compensation range is $18.15 to $24.42 per hour, with the final offer based on experience, education, credentials, and other factors.

We are committed to empowering our staff with resources and programs that support individual growth and well-being. Learn more: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status: Full Time

Shift: Days