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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

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