Referral Coordinator - Pediatrics

Advocate Health

Tinley Park, US
Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Referral process coordination
Medical necessity documentation
Managed care organizations
Coordinate the referral process by collecting referrals, obtaining approvals, processing authorizations, and communicating with patients, physicians, and managed care organizations

Job Summary

  • Coordinate the referral process by collecting referrals, obtaining approvals, processing authorizations, and communicating with patients, physicians, and managed care organizations.
  • Investigate diagnosis codes, medical necessity guidelines, and payor requirements to ensure appropriate referrals and avoid claims denials, discussing discrepancies with physicians for correct coding.
  • 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 by collecting referrals, obtaining approvals, processing authorizations, and communicating with patients, physicians, and managed care organizations.

Salary

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

Skills & Requirements

Must-have

  • Referral process coordination
  • Medical necessity documentation
  • Managed care organizations
  • Patient eligibility verification
  • Claims denial avoidance

Nice-to-have

  • Positive communication style
  • Team player attitude
  • Handling difficult calls
  • Customer issue resolution

Key Requirements

  • 3-4 years experience
  • 1 year referral experience
  • Medical terminology comprehension
  • Completion of 1 Medical Terminology class

Work Rights

Not specified

Tailored Resume

Cover Letter