Coord Referral-Full Time- Pulmonary Medicine

Job ID:
R150784

Shift:
1st

Full/Part Time:
Full_time

Pay Range:
$21.45 – $32.20

Location:

Park Ridge, IL – 850 Busse Hwy
Park Ridge, IL 60068

Benefits Eligible:
Yes

Hours Per Week:
40

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate’s job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Schedule Details/Additional Information:
Candidate should be willing to participate in projects related to job role for the benefit of the office.Office hours: Monday – Friday 8:30am – 5:00pm

Address: 850 Busse HWY. Park Ridge, IL

Hours: Office hours: Monday – Friday 8:30am – 5:00pm

Pulmonary Medicine

Position Requirements: 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. Excellent communications skills. Computer literate . 35 wpm keyboarding preferred. Experience with IDX Windows and other I.S. systems. Good organizing skills. Good problem~solving skills. Ability to handle difficult calls and maintain professional conduct. Excels as a team player. Flexible with job responsibilities. N/A 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.Purpose: The Referral Coordinator position is responsible for coordinating all referral requests and following up on all necessary documentation certification and authorization requirements. A key responsibility is use of the automated managed care information system to process referrals.Accountabilities:Coordination of the Referral ProcessReviews all payor requirements by type of service and organizes materials to ensure appropriate referral and that steps are followed to avoid claims denials. Participate in education and eligibility problem resolution.Establish controls and a tickler system set~up to see if services are obtained. Maintain tracker to ensure: Assures that referral documentation is filed

Advocate Health Care is the largest health system in Illinois and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. One of the state’s largest private employers, the system serves patients across 11 hospital locations, including two children’s campuses, and more than 250 sites of care. Advocate Health Care, in addition to Aurora Health Care in Wisconsin and Atrium Health in the Carolinas, Georgia and Alabama, is now a part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.