Referral Coordinator
Job Closed
Overview
Required skills & experience (the “must haves” to be considered) 1. High School Diploma or equivalent experience required 2. At least 2-3 years of Referral Coordination experience, including managed care and quality 3. Knowledgeable in using InterQual and/or MCG (Milliman) guidelines is a plus 4. Proficient in MS Office Applications and ability to learn department and job specific software systems What you need to know 1. Receives and responds to all incoming calls from PCP, specialists, and other providers regarding inpatients, surgeries, and outpatient services including DME, Home Health Care and other services requiring a pre-authorization. 2. Onsite gym for employees 3. .2 miles away from the Oak Brook Mall
Company
Helping providers succeed by developing strong relationships, delivering innovative solutions and driving exceptional performance. We were founded to enable physicians to engage, support, and manage new value-based savings and shared-risk models. We combine deep industry experience, focused technology, and innovative programs to deliver a timely, turn-key solution for healthcare providers, health plans, and strategic partners.