Referral Processing Specialist (Remote)

Full Time Remote Position

Hours: 8:30am-5:30pm

Weekend and Holiday rotation required

Day one is onsite for equipment pickup

Pay Range

Major Responsibilities:

• Provide support to the day-to-day operations of Customer Service Center.

• When entering referral, correctly identify insurance coverage, investigate and verify sources of reimbursement and make recommendations based on the information obtained.

• Follows a standardized workflow to support achievement of goals and standards related to referral processing.

• Team Work.

Education/Experience Required:

• HS diploma

• 2 years of experience in a medical office setting

• Call center experience a plus

• Knowledge of medical terminology and health care industry

• Knowledge of Medicare/Medicaid and other third party payers.

Knowledge, Skills & Abilities Required:

• Strong communication skills (both oral and written).

• Able to work effectively with all colleagues, to ensure the seamless referral processing

• Ability to work well in a team environment with a positive attitude

• Appreciation of the need for and ability to maintain confidentiality

• Rational/logical decision making

• Ability to prioritize work and work unsupervised for periods of time

• Strong interpersonal skills

• Ability to take responsibility for processing referrals within timeframes and responding to queries about Medicare, Medicaid and Managed Care Services.

• Competent in the use of a range of software packages including Microsoft Office, Word and Excel (used daily)

• Ability to follow through on tasks and communicate between and among team members

• Ability to respond to callers professionally and courteously.

• Ability to express self clearly and assertively, and work in a busy office

Physicial Requirements and Working Conditions:

• Independent thinker

• High energy, self-starter

• Effective communicator • Detail oriented

• Work flexible hours

• Occasional travel to other Advocate and referral locations as necessary in all weather conditions on all types of roads including expressways

• 10 lbs or less regularly of office supplies/equipment to perform job

• 20-50 lbs occasionally (e.g. box of of paper)

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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 listed within the listed 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