Advocate Health and Hospitals Corporation
Referral Specialist / Him Lead-Full Time
Chicago, IL - 4600 N Ravenswood Ave · Part-time
Sponsorship not specifiedDetected 4 hours ago
Clinical TrialsPatient CareResearchCommunicationProblem Solving
About the role
- Arranges for appropriate referrals and paperwork for specialty physician care, diabetic teaching and nutrition education, home visits, durable equipment needs, etc.
- 2)Responsible for coordination of managed care process 3)Handles the referral processing activities from the physician office side.
- 4)Works through eligibility and denial issues on behalf of the patient and physician.
Responsibilities
- 10)Continues to educate providers and clinical staff of managed care updates Developmental responsibilities 1)Maintain current skill verification specific to their practice.
- 2)Maintain current CPR certification.
Requirements
- Ability to handle multiple demands/tasks.
- Ability to work under stressful conditions and in difficult situations.
- Knowledge of Universal precautions, Hazadous Waste procedures.
- Ability to lift up to 35 pounds without assistance.
- 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.
- This includes all the paperwork required for working within the established PHO procedures.
- 4)Maintains CMA re-certification as required.
Skills
- Clinically appropriate skills.
- Ability to communicate clearly and effectively in caring manner.
- Strong interpersonal & customer relations skills.
- Good verbal and written communication skills.
- Good organizational skills.
- Good problem-solving skills.
- Flexible.
- LPN Licensure or Medical Assistant Certification.
- Current CPR certification.
Compensation
- Department: 01120 AMG Chicago Ravenswood Ave - Family Medicine Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Hours TBD Pay Range: $21.85 - $32.80 Major Responsibilities: Referral Specia
Benefits
- About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.
- Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
- Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward.
- One in which the patient's experience guides our vision and empowers us to offer new possibilities in our communities.
- It's offering more sites of care than any other health system in the Midwest.
- 6)Responsible for obtaining needed information to get needed referrals 7)Initiates the medical necessity review process as appropriate with the support of the physician.
- Health Information LEAD 1)Responsible for maintaing good work flow for the Health Information associates by scheduling them appropriate to meet budget FTE and assigning assignments.
- 2)Responsible for training all Health Information associates and ensures accuracy and completeness of all health information tasks performed by associates.
- 3)Updates and reviews compliance of protocols set up for the Family Practice Center Medical Records department.
- 5)Responsible for all Health Information being requested for Release.
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