Referral Coordinator

Why Advocate Health When you join Advocate Aurora Health, you are joining one of the nation’s largest nonprofit health systems, serving communities across Illinois and Wisconsin with a strong commitment to equity, excellence, and whole-person care. Why Advocate Health When you join Advocate Aurora Health, you are joining one of the nation’s largest nonprofit health systems, serving communities across Illinois and Wisconsin with a strong commitment to equity, excellence, and whole-person care. At Advocate Aurora Health we are redefining how, when, and where care is delivered—bringing human kindness to every step of the health journey. Guided by our Purpose, “From discovery to everyday moments, we’re redefining care – for you, for us, for all,” we are committed to lifting everyone up, thinking boldly together, and creating spaces where all belong and can thrive. What Will You Do: Schedule: Monday-Friday from 8:30 am-5:00 pm. No weekends and no major holidays. As a Referral Coordinator, you’ll play a vital role on the care team – supporting providers, connecting with patients, and helping ensure a seamless, compassionate experience every day. As a key member of the ambulatory care team, you will: Collect all referrals from medical staff daily and obtain any necessary approvals from attendings. Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended. Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization. Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval. Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists. Where You Will Work Location: Park Ridge We are Looking For: Required Qualifications H.S. diploma or G.E.D. 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience Excellent medical terminology comprehension and its effective usage Completion of 1 Medical Terminology class with certificate of completion. Being Part of Something Bigger At Advocate Health, your work matters—to patients, teammates, and the communities we serve. If you are passionate about care, teamwork, and making a meaningful difference every day, we would love to grow with you. Physical Requirements And Working Conditions Ability to work independently. Ability to handle stress and high workload volumes. Ability to communicate denial of services to members and providers. If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. #J-18808-Ljbffr