Referral Specialist - Park Ridge GI, IL

SAINT MARY OF NAZARETH HOSPITAL; Park Ridge (IL); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Referral Specialist to support patients and manage referrals efficiently. The role involves scheduling appointments, handling insurance authorizations, and ensuring a smooth referral process. Ideal candidates will exhibit strong communication skills, a customer-friendly attitude, and have some prior experience in a clinical setting.

Benefits

Paid time off

401K

Medical/Dental/Vision coverage

Tuition reimbursement

Voluntary benefits

Qualifications

• 2 years of experience in a clinical environment preferred.
• Knowledge of medical terminology preferred.
• Self-starter with multi-tasking abilities.

Responsibilities

• Act as a liaison between insurance providers and clinics.
• Schedule referrals and communicate with patients.
• Perform administrative tasks like retrieving patient records.

Skills

Customer Service

Communication

Organizational Skills

Problem-Solving

Education

Completion of a medical assistant program

Tools

Electronic Medical Records systems

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 (where applicable), disability, military status, genetic information, or any other protected category under federal, state, or local laws. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The following describes the major elements and requirements of the position. The Referral Specialist acts as a liaison between insurance providers, healthcare providers, and the clinic to ensure referrals are processed correctly for medical specialty visits. Responsibilities include scheduling referrals at the request of providers and/or staff, communicating with clinics, patients, and referred providers, reviewing clinical data for medical necessity reports to insurance companies, and performing administrative tasks such as filing, scanning, retrieving patient records, and completing insurance prior authorizations. The specialist should have knowledge of referral processes, tests, surgeries, and insurance plans. Excellent telephone etiquette and the ability to communicate politely and effectively are essential. The role also involves supporting patients through prior authorizations, payment options, and conveying a positive image of the organization.

Qualifications

1. 2 years of experience in a clinical environment preferred.
2. Knowledge of medical terminology preferred.
3. Completion of a medical assistant program desired; certification within 6 months of hire.
4. Knowledge of Electronic Medical Records systems.
5. Excellent phone and customer service skills.
6. Positive, customer-friendly attitude.
7. Knowledge of prior authorizations and insurance plans.
8. Strong organizational skills.
9. Ability to assist patients navigating the healthcare system.
10. Self-starter with multi-tasking abilities.
11. Problem-solving skills for scheduling and referral issues.
12. Attention to detail.
13. 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 for this role is $18.15 to $24.42 per hour, with the exact starting salary based on experience, education, credentials, and other factors.

Employment Status: Full Time

Shift: Days