Referral Processing Specialist; Remote

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.

• 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.

• 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 time frames 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

• 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 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.