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Access Community Health Network
Evanston, IL | Full Time
$38k-47k (estimate)
5 Months Ago
Referral Coordinator
$38k-47k (estimate)
Full Time | Ambulatory Healthcare Services 5 Months Ago
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Access Community Health Network is Hiring a Referral Coordinator Near Evanston, IL

Position SummaryThe Referrals Coordinator is responsible for working within the Epic system and insurance portals to process all ACCESS referrals that are generated by the clinical providers, to ensure that the patient is being referred to the appropriate in-network provider, and that the services are approved as stipulated by the patient’s current benefit plan requirements.Core Job Responsibilities• Work with Payors/Plans to process referrals/authorizations to completion according to policy and procedure.• Assist Access Clinic providers/staff in identifying appropriate in-network providers for referred services.• Assist patients with questions regarding referrals.• Coordinate with other departments and facilities to ensure appointments are scheduled and patients have received the necessary information for their appointment(s).• Work/address the referrals that remain open to determine if patient received the referred services. Contact Referred to provider to obtain consultation notes. Contact patients per established policy and procedure to ensure they receive referred services. Close referrals per established policy and procedure.• Build and maintain relationships with Payor/Plan representatives and ACCESS clinic providers and staff; acts as a resource to answer questions and solve problems• Maintain accurate information regarding what services require prior authorization for each Payor/Plan.• Maintain accurate information regarding which external providers are contracted with each Payor/Plan.• Monitor for delays in the prior authorization process and works with the Prior Authorization Department to ensure timely scheduling.• Monitor referral phases to maintain compliance• Monitor referral dashboards and work queues daily• Perform other duties as assigned.Requirements/Preferences • High school diploma or GED required• Minimum 1-year experience in a clinical office or health care environment in patient registration, referrals, medical assisting or customer service required.• 1-year EHR Systems experience, preferred, EPIC a plus• Bilingual/Spanish preferred• Beginning proficiency Microsoft Office Suite (Word, Excel, Outlook)

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$38k-47k (estimate)

POST DATE

12/13/2023

EXPIRATION DATE

06/05/2024

WEBSITE

achn.net

HEADQUARTERS

CHICAGO, IL

SIZE

500 - 1,000

FOUNDED

1993

CEO

C MICHAEL SAVAGE

REVENUE

$50M - $200M

INDUSTRY

Ambulatory Healthcare Services

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About Access Community Health Network

Access Community Health Network (ACCESS) offers patient-centered, preventive and primary care services to more than 175,000 patients annually in the Chicagoland area. With 35 Joint Commission-accredited community health centers, ACCESS is one of the largest networks of federally-qualified health centers in the nation. All health centers have been recognized by the National Committee for Quality Assurance (NCQA). For more information, visit www.achn.net.

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The job skills required for Referral Coordinator include Prior Authorization, Customer Service, Health Care, Microsoft Office, EHR, etc. Having related job skills and expertise will give you an advantage when applying to be a Referral Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Referral Coordinator. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Referral Coordinator positions, which can be used as a reference in future career path planning. As a Referral Coordinator, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Referral Coordinator. You can explore the career advancement for a Referral Coordinator below and select your interested title to get hiring information.

If you are interested in becoming a Referral Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Referral Coordinator for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Referral Coordinator job description and responsibilities

Performs data collection and data entry, following through and documenting the interaction.

01/02/2022: Newark, NJ

Make patient referrals and assist with medical services.

01/12/2022: Madison, WI

Provides referral and authorization services to the benefit of the patient's medical necessities as directed by a physician (s).

12/20/2021: Orange, CA

Ensures patients have been cleared for specialty service office visits.

01/21/2022: Wilmington, DE

Referral coordinators set appointments and process transfers to ensure timely transmission and start of services.

02/02/2022: Schenectady, NY

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Referral Coordinator jobs

Ability to work independently and be self-directed and flexible.

02/08/2022: Concord, NH

Effective telephone skills.

01/28/2022: Winston Salem, NC

Ability to work at a high-volume level of accuracy.

03/01/2022: Portland, ME

Strong level of confidentiality due to the sensitivity of materials and information handled

02/06/2022: Seattle, WA

Must be able to make suggestions on workflow or system efficiency and effectiveness.

12/21/2021: Boca Raton, FL

Step 3: View the best colleges and universities for Referral Coordinator.

Butler University
Carroll College
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Princeton University
Providence College
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