IL Referral Processing Specialist Weekend PRN

Major Responsibilities:

• A. 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.
• N/A

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.