Referral Coordinator - Pediatrics

Advocate Health

Tinley Park, Illinois, US
Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Referral process coordination
Medical necessity guidelines
Managed care organizations
Coordinate the referral process, including collecting referrals, obtaining approvals, and processing for patients based on physician orders and specialist recommendations

Job Summary

  • Coordinate the referral process, including collecting referrals, obtaining approvals, and processing for patients based on physician orders and specialist recommendations.
  • Review payor requirements, investigate diagnosis codes, and discuss discrepancies with physicians to ensure appropriate referral authorization and avoid claims denials.
  • Advocate Health offers a comprehensive suite of Total Rewards, including competitive compensation, generous retirement offerings, and programs that invest in career development.

Matching Summary

Coordinate the referral process, including collecting referrals, obtaining approvals, and processing for patients based on physician orders and specialist recommendations.

Salary

Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Yes

Skills & Requirements

Must-have

  • Referral process coordination
  • Medical necessity guidelines
  • Managed care organizations
  • Patient satisfaction
  • Claims denial avoidance

Nice-to-have

  • Team player
  • Handle difficult calls
  • Positive communication

Key Requirements

  • 3-4 years experience
  • 1 year referral experience
  • H.S. diploma or G.E.D.
  • Medical terminology comprehension
  • Completion of 1 Medical Terminology class

Work Rights

Not specified

Tailored Resume

Cover Letter