Referral Specialist I // Deerfield IL 60015

SUMMARY

• ·Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services.
• ·Acts as a liaison between hospitals, physicians, health plans, vendors and patients.

MAJOR JOB DUTIES AND RESPONSIBILITIES

• ·Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• ·Reviews referrals for completeness and follows up for additional information if necessary.
• ·Assigns referrals to staff as appropriate.
• ·Verifies insurance coverage and obtains authorizations if needed from insurance plans.
• ·Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
• ·Contacts physician offices as needed to obtain demographic information or related data.
• ·Enters referrals, documents communications and actions in system.
• ·Enters referrals, documents communications, actions and other data in system.

EDUCATION/EXPERIENCE

·Requires high school diploma and 1-3 years’ experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.

SKILLS

• ·Excellent customer-service and telephone skills required.
• ·Excellent oral and written communications skills required.
• If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590.

Thanks & Regards,

• Ranadheer Murari |Team Recruitment |Mindlance, Inc. | W:678 405 3590
• ranadheerm@mindlance .com