Job Information
AMITA Health Referral Coordinator, Referral Management, Full Time in Des Plaines, Illinois
We Are Hiring
We are hiring a full time Referral Coordinator at AMITA Health, 2380 East Dempster, Des Plaines , IL 60016.
M-F 9-5:30pm OR 9:30-6pm; 1 Saturday every 2 months 9am-1pm
What You Will Do
Help 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 Need
Education:
- High school diploma or GED required.
Additional Preferences
Why Join Our Team
Equal Employment Opportunity Employer
AMITA Health
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- AMITA Health Jobs
