Referral Coordinator

2 weeks ago


Waukegan, Illinois, United States Vista Health System Full time
Job Title: Referral Coordinator

Vista Health System is seeking a highly skilled Referral Coordinator to join our team. As a Referral Coordinator, you will play a critical role in ensuring the efficient and accurate verification of insurance for patients being admitted into our hospital for care.

Key Responsibilities:
  • Verify insurance coverage for patients through telephone and resolve any issues with coverage.
  • Interview patients and complete all necessary paperwork to ensure a smooth admitting process.
  • Review daily Alpha Census & Admissions Register to determine pre-certification needs.
  • Work with Utilization Review (UR) to coordinate PPO, Medicaid, and Medicare information in a timely manner to prevent denials and delays.
  • Maintain department records, reports, and files as required, entering pre-cert numbers in a timely manner.
  • Collaborate with physician offices to obtain required authorization for procedures from different payors to prevent reschedules and cancellations.
  • Verify all insurance benefits for scheduled outpatient services to determine insurance coverage.
Requirements:
  • High School Diploma or equivalent education.
  • Two years of experience in a hospital or medical-related environment, with knowledge of insurances and the insurance industry.
  • Minimum one year of customer service experience.
  • Knowledge of computers and other standard office equipment.
What We Offer:

Vista Health System offers a competitive benefit package, including Medical, Dental, and Vision plans, 401K, Education Assistance, Paid Time Off/Sick Leave, and much more.


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