Referral Coordinator, Referral Management, Full Time

Company: AMITA Health
Location: Des Plaines
Posted on: April 8, 2021

Job Description:

We Are HiringWe are hiring a full time Referral Coordinator at 2380 East Dempster, Des Plaines, IL 60016.Schedule: 9-5:30pm OR 9:30-6pm (based on department's need) ; 1 Saturday every other month 9-1pm.What You Will DoHelp patients navigate through their health care needs by assisting with referrals, insurance authorizations, scheduling appointments, and answering questions.+ Confirm insurance coverage via payer portals and determine necessity for pre-authorization.+ Obtain authorization and process referrals for services ordered by providers.+ Schedule appointments as appropriate and within required timeframes and assure referrals are maintained within appropriatenetwork and/or payer requirement.+ Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and determine financial responsibility for services to be provided.+ Communicate with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.+ Document detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details.+ Notify patients and providers of services requested that are not authorized by insurance.What You Will NeedEducation:+ High school diploma or GED required.Experience: + Referral , insurance, pre-authorization experiences are highly preferred. Why Join Our TeamAMITA Health, one of the largest health systems in Illinois, is comprised of 19 hospitals and more than 230 sites of care. With more than 900 providers in its medical groups, 26,000 associates and 7,000 physician partners, AMITA Health serves over 6.6 million residents in the greater Chicagoland area. We are committed to improving accessibility to healthcare in the communities we serve. We hold ourselves accountable to our patients and one another, and we work hard to treat the whole person, body, mind and spirit. Our compassionate, talented team members are the source of our strength, and we invest heavily in their well-being. We offer significant professional opportunities, career advancement potential, comprehensive training and competitive wages.Equal Employment Opportunity EmployerAMITA Health will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.For further information regarding your EEO rights, click on the following link to the "EEO is the Law" poster:http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdfEEO is the Law Poster SupplementPlease note that AMITA Health will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. AMITA Health will not solicit money or banking information from applicants.

Keywords: AMITA Health, Des Plaines , Referral Coordinator, Referral Management, Full Time, Executive , Des Plaines, Illinois