Referral Specialist - Park Ridge GI, IL

East Liverpool City Hospital; Park Ridge (IL); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare group is seeking a full-time Patient Liaison to manage referrals and assist patients through the healthcare system. The role requires strong organizational skills, excellent customer service abilities, and knowledge of medical terminology to ensure efficient processing of referrals and prior authorizations. Competitive compensation and benefits package offered.

Benefits

Paid time off

401(k)

Medical, dental, and vision coverage

Tuition reimbursement

Voluntary benefits

Qualifications

• 2 years of experience in a clinical environment preferred.
• Excellent phone and customer service skills.
• Knowledge of prior authorizations and insurance plans.

Responsibilities

• Act as a liaison between insurance providers and clinics.
• Schedule referrals for patients as requested.
• Maintain good telephone etiquette and communicate professionally.

Skills

Customer service

Organizational skills

Problem-solving

Knowledge of medical terminology

Detail-oriented

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 status 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 are the major elements and requirements of the position and are not all-inclusive:

1. Act as a liaison between insurance providers, healthcare providers, and the clinic to ensure referrals are processed correctly for medical specialty visits.
2. Schedule referrals for patients as requested by providers and/or staff.
3. Communicate directly with clinics, referred clinics, and patients.
4. Review clinical data to report medical necessity to insurance companies.
5. Perform work aligned with the practice's mission, vision, and values.
6. Make referrals to specialists, handle prior authorizations, and foster positive relationships between the office practices and specialists.
7. File, scan patient reports, retrieve patient records for prior authorizations or medical records, and complete insurance prior authorizations.
8. Demonstrate knowledge of referral processes, tests, surgeries, and insurance plans.
9. Maintain good telephone etiquette and communicate politely and professionally.
10. Navigate prior authorizations with insurance companies and support patients through resources like sliding fee scales and payment arrangements.
11. Convey a positive image of the organization and maintain 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, upbeat, customer-friendly attitude.
• Knowledge of prior authorizations and insurance plans.
• Strong organizational skills.
• Ability to act as a patient liaison and help navigate the healthcare system.
• Self-starter with the ability to multi-task.
• Problem-solving skills for scheduling and referral issues.
• Detail-oriented.
• Ability to adapt to a changing environment.

Prime Healthcare Illinois Medical Group offers a competitive total rewards package, including paid time off, 401(k), medical, dental, and vision coverage, tuition reimbursement, and voluntary benefits. The estimated compensation range for this role is $18.15 to $24.42 per hour, with the exact offer determined based on experience, education, credentials, and other factors.

Employment Details

Full-Time, Day Shift