Referral Specialist I // Deerfield IL 60015

About the role

• Business Referral Specialist I
• Visa GC/Citizen
• Location 540 Lake Cook Road; Deerfield IL 60015
• Division Health care
• Contract 4 Month Temp-to-Perm
• Work hours M-F 09:30AM to 06:00PM

Summary

• Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services.
• Acts as a liaison between hospitals, physicians, health plans, vendors and patients.

Major Job Duties and Responsibilities

• Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews referrals for completeness and follows up for additional information if necessary.
• Assigns referrals to staff as appropriate.
• Verifies insurance coverage and obtains authorizations if needed from insurance plans.
• Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enters referrals, documents communications and actions in system.
• Enters referrals, documents communications, actions and other data in system.

Education/experience

• Requires high school diploma and 1-3 years' experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.

Skills

• Excellent customer-service and telephone skills required.
• Excellent oral and written communications skills required.