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Referral Specialist
Waukegan, IL
Job Description
Referral SpecialistTracking Code15649Job DescriptionDo you want a career where you can truly make a difference?The Lake County Health Department and Community Health Centeris one of the largest human service providers in Lake County. We live our mission each day, promoting the health and well-being of all who live, work, and play in Lake County. If you are passionate about giving back and ready to be a part of an innovative team, we are looking for you! About the Role: Summary: This position is responsible for coordinating the referral and prior authorization processes for assigned Patient Centered Medical Home (PCMH) teams and their respective patients and assisting uninsured clients in gaining access to specialty medical services. The Referral Specialist consistently provides the highest level of customer service over the telephone or in person. Referral Specialist Benefit Review: Medical, Dental & Vision Insurance Life Insurance Vacation Pay Sick Pay Pension FSA/HSA And MUCH MORE! Location: 2303 Dodge Ave, Waukegan, IL Hours: 37.5 hours a week; Monday-Friday (8:00am-4:00pm) FLSA STATUS: Hourly Referral Specialist Skills and Experience Coordinates all referral requests and follows up on necessary documentation. Assists in ensuring that referrals are addressed in a timely manner. Assists PCMH team in obtaining prior authorizations as required by the patients insurance company. Coordinates obtaining results from all referrals. Documents and informs patient of referral, prepares any required forms and transmits required information to outside providers and/or insurance company. Determines patients eligibility for the uninsured specialty referral grant payment program. Schedules patients for appointments, follow-up appointments, tracks results and recommendations. Establishes and maintains cooperative relationships with Lake County Health Department and Community Health Center (LCHD/CHC) staff, insurance companies, local hospitals, physicians and other health care providers to facilitate continuity of care for LCHD/CHCs patients. Serves as a point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns and assists in solving potential issues related to the healthcare system(e.g., request interpreters as appropriate, transportation services or prescription assistance)Prepares correspondence and any other required documentation related to above position responsibilities. Accurately performs data entry of program related data and information in the appropriate computer systems. Job Skill Assessment(s) may be required for this role. Referral Specialist Education, Qualifications, and Certification: High School diploma or GED required, some college preferred. Previous experience in a medical office with thorough understanding of Medicaid, Medicare, Managed Care Organizations and PPOs preferred Data entry and basic computer skills required. Ability to work on weekends, holidays and overtime as assigned Bilingual (English/Spanish) preferred About the Perks: Lake County offers a competitive salary and benefit package with performance-based incentive plans. We also offer flexible working hours, and a comprehensive wellness and training program. Visit the Health Department (page to get additional information on why you should work for us. If you would like to learn more about our community impact and to see some of our employees in action, please review this short video (. Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam. The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status and other protected characteristics. Job LocationWaukegan, Illinois, United StatesPosition TypeFull-Time/RegularSalary17.37 - USDApplications will be acceptedPosition is subject to close at any time.
Job Summary
Company
Lake County Health Dept
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
Open
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