Referral Processing Specialist

Department:

10422 Home Office WI - Patient Access

Status:

Part time

Benefits Eligible:

No

Hours Per Week:

0

Schedule Details/Additional Information:

Per Diem Position On-Site, Monday
- Friday at Aurora Bay Care Hospital. Potential hours 830-5p. Weekend and Holiday Rotation requirements may apply. Available for close to full-time orientation.

Pay Range:

$20.80 - $31.20

Major Responsibilities:

• Collects and records medical, social and reimbursement data pertinent to patient admission to initiate home care, palliative care and hospice.
• Screens, documents and processes requests for home health, palliative and hospice services. This includes taking incoming calls, answering customer questions, completing intake forms, processing referral orders within EPIC or faxed referrals and documenting service requests for coordination of care; including promoting company products and service.
• Collaborates with the nursing team when reviewing and processing physician orders for instructions on patient’s plan of care and prior to sending patients to the appropriate patient service department to ensure activities are performed within the scope of practice.
• Communicates and documents any new, changed, updated information, orders or referrals received within intake to the appropriate persons and/or departments as needed to not compromise the quality of care and safety of patient(s).
• Responds to inquiries regarding Aurora at Home services and programs. Explains programs and services, in addition to determining if patients meet criteria for Centers for Medicare & Medicaid Services (CMS) certified agency, admission policies and/or referring requests to other community agencies when appropriate.
• Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, payer coverage, guidelines, documentation requirements and insurance related changes or trends.

Licensure, Registration, and/or Certification

Required:

• None Required.

Education Required:

• High School Graduate.

Experience

Required:

• Typically requires 1 year of experience in a clinical environment.

Knowledge, Skills & Abilities

Required:

• Basic medical knowledge.
• Strong verbal and written communication skills a must including experience in data entry, multi-line phone system, and customer service experience.
• Excellent interpersonal skills necessary to interact with internal and external customers.
• Demonstrated ability to work well with physicians and other professionals.
• Proficient computer skills including word processing and electronic mail.
• Must be detail-oriented and have excellent organizational skills.

Physical Requirements and

Working Conditions:

• Generally exposed to a normal office environment.
• Must be able to sit for extended periods and may be required to stand, bend, twist, kneel, squat and reach above the shoulders throughout the workday.
• May be exposed to hazardous chemicals, loud noises or hazardous equipment when patient care is involved.
• Position requires travel for education and periodic off site meetings. May be exposed to road and weather hazards.

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.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate’s job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note:

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.