Base: $21.85 - $32.80; bonus/equity: not specified...
Not specified (assumed on-site due to location).
3-4 years managed care experience
Aa degree or equivalent required
Medical terminology knowledge preferred
Advocate Aurora Health is seeking a full-time Referral Specialist in Park Ridge, IL, responsible for managing the centralized referral process, overseeing communication with members and healthcare providers, and ensuring compliance with medical policies. The ideal candidate should have a background in managed care or healthcare settings, along with strong communication and organizational skills
Job Summary
This role manages the centralized referral process for Advocate Aurora Health, including processing referrals to members, physicians, and specialists.
The incumbent is responsible for coordinating discharge planning, authorizing home health and DME services, and investigating pended claims reports.
Advocate Health offers a comprehensive benefits suite including medical, dental, vision, retirement plans, and educational assistance programs.
Matching Summary
Match Score: 85
Advocate Aurora Health is seeking a full-time Referral Specialist in Park Ridge, IL, responsible for managing the centralized referral process, overseeing communication with members and healthcare providers, and ensuring compliance with medical policies. The ideal candidate should have a background in managed care or healthcare settings, along with strong communication and organizational skills.
Salary
Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Comprehensive suite including PTO, health/welfare, retirement match, and educational assistance
Skills & Requirements
Must-have
3-4 years managed care experience
AA degree or equivalent required
Medical terminology knowledge preferred
IDX system documentation proficiency
Claims reconciliation and investigation
Nice-to-have
Certified Medical Assistant preferred
MRT certification preferred
Experience with Evicore Carelon systems
Ability to handle difficult calls professionally
Knowledge of UHC RadMD and Availity
Key Requirements
AA Degree or equivalent
3-4 years in managed care/hospital/physician office