Clinical Referral Specialist II St. Luke's

4 weeks ago

Milwaukee, United States 223 Aurora Medical Group, Inc. Full time

Department:

10402 AMG Milw South Shared Services - Business Office

Status:

Full time

Benefits Eligible:

Yes

Hou rs Per Week:

40

Schedule Details/Additional Information:

Monday - Friday 8:00AM -4:30PM
This is an onsite position that will be at the St. Luke's.
Teammate will be expected to schedule a minimum of 2 appointments an hour (average) and well as complete a minimum of 2 referrals an hour (average).
Teammate will need to be self-directed and comfortable collaborating with physicians/ APCs in at the site.

Major Responsibilities: Reviews work queues to identify unscheduled ordered services and connects with the patient to schedule the appropriate service. Confirms and secures authorization or required pre-certifications for patients to receive specialty consultation or medical services, and closes the referral if an authorization is not required. Schedules appointments including complex specialty appointments and adheres to appropriate protocols. Communicates to the patient all pre and post appointment instructions (i.e., medication guidelines, food/beverage consumption guidelines, check in procedures, directions to facilities, etc.). Schedules the ordered medical service accurately and links order to appointment. Responsible for providing provider referrals to patients based on the ordered medical service and patient’s preferences. Coordinates the scheduling of all external referrals with non-aurora specialists in accordance with Medical Group guidelines and completes authorization responsibilities if necessary. May obtain demographic and insurance information. May ensure insurance and patient information obtained is complete and accurate and update information if necessary. May update financial information and other data when changes or additions occur, and may communicate to patients as appropriate. Responsible for documenting all contact attempts to schedule the ordered medical service in the patient’s electronic health record and adhering to department workflows and procedures for contact attempts. Responsible for notifying the ordering provider through telephone encounter in electronic health record when an ordered medical service is removed according to the department’s assigned removal reasons. Provides the highest level of patient service by problem solving, documenting patient concerns, and identifying appropriate follow-up for patients. Performs registration responsibilities to ensure accurate patient information and confirms patient payer information. Educates patients and clinical caregivers regarding referral and authorization requirements, payer coverage, eligibility guidelines, and insurance related changes or trends. Maintains knowledge of the following and the associated reference material; Medicare, Medicaid and third party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and current accepted insurance plans. Responsible for management of EPIC In-Basket and management of requested authorizations across the system to include special requests (ex. Vision Therapy or authorization needed verification requests). Provides weekly/timely updates to team lead and department leadership on issues to include escalation of in-house provider or caregiver questions, requests or concerns regarding the status of a patient’s ordered service or care coordination. Serves as an on-site resource for new and existing caregivers to the department for questions related to work queue process, authorization status and mentorship opportunities.
Licensure, Registration, and/or Certification Required: None Required.
Education Required: High School Graduate.
Experience Required: Typically requires 2 years of experience in a medical group with focused experience in the coordination of patient care including scheduling of specialty services and comprehensive understanding of medical terminology and six months of experience as a clinical referral specialist I.
Knowledge, Skills & Abilities Required: Knowledge of clinical processes and procedures, including a good working knowledge of medical terminology and medical chart documentation. Advanced knowledge of referral management and electronic health record software system. Knowledge of patient focused software systems, (i.e. EPIC & Interactive Intelligence (I3)). Ability to efficiently enter/update database records and read/comprehend patient records. Excellent communication skills and the ability to communicate professionally and effectively with patients, peers, and caregivers across the organization. Demonstrated ability to work independently and be self-directed. Proficiency in Microsoft Office. Ability to manage multiple tasks. Excellent customer service skills.
Physical Requirements and Working Conditions: Exposed to a normal office environment. May require some travel, so there will be exposure to weather and road conditions. Operates all equipment necessary to perform the job.

  • Advanced Cardiac Imaging

    3 weeks ago

    Milwaukee, WI, United States Advocate Health Full time

    Aurora St. Luke's Medical Center is recruiting for a multi-modality advanced imaging cardiologist to join us in Milwaukee, with particular focus in echocardiography. Our Advanced Imaging Core Group provides coverage for echocardiography, interventional echocardiography, cardiac CT, SPECT/PET in a well-established cardiovascular group (75 cardiologists...

  • Advanced Cardiac Imaging

    1 week ago

    Milwaukee, United States Advocate Health Full time

    Aurora St. Luke's Medical Center is recruiting for a multi-modality advanced imaging cardiologist to join us in Milwaukee, with particular focus in echocardiography. Our Advanced Imaging Core Group provides coverage for echocardiography, interventional echocardiography, cardiac CT, SPECT/PET in a well-established cardiovascular group (75 cardiologists...

  • Advanced Cardiac Imaging

    3 weeks ago

    Milwaukee, United States Advocate Health Full time

    Aurora St. Luke's Medical Center is recruiting for a multi-modality advanced imaging cardiologist to join us in Milwaukee, with particular focus in echocardiography. Our Advanced Imaging Core Group provides coverage for echocardiography, interventional echocardiography, cardiac CT, SPECT/PET in a well-established cardiovascular group (75 cardiologists...

  • Referral Specialist

    3 weeks ago

    Milwaukee, United States Progressive Community Health Centers, Inc. Full time

    Job DescriptionJob DescriptionCome join our team! We are hiring!We are currently hiring a Referral Specialist - Medical in Milwaukee, WI. This is a full-time position that does not require working late nights, weekends, or holidays.Why Progressive Community Health Centers?Founded in 1999, Progressive Community Health Centers is an independent non-profit...

  • Referral Specialist

    3 weeks ago

    Milwaukee, United States Progressive Community Health Centers, Inc. Full time

    Job DescriptionJob DescriptionCome join our team! We are hiring!We are currently hiring a Referral Specialist - Medical in Milwaukee, WI. This is a full-time position that does not require working late nights, weekends, or holidays.Why Progressive Community Health Centers?Founded in 1999, Progressive Community Health Centers is an independent non-profit...

  • Sonographer - St Luke's

    3 weeks ago

    Milwaukee, United States 100 Aurora Health Care Metro, Inc. Full time

    Department: 36320 Aurora St. Lukes Medical Center - Ultrasound Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Mid shift Monday - Friday 12:00 - 8:30 pm Includes weekend, holiday and call rotation Performs all general and/or vascular procedures/studies under the direction of the...

  • Surgical Assistant

    4 weeks ago

    Milwaukee, United States Aurora Health Care Full time

    The Surgery Center at Aurora St. Luke’s Medical Center was ranked #1 for Patient Experience in 2023. We are looking for a Surgical Assistant to join our community of caregivers. **St Lukes Surgery Center Specialties**: - Ophthalmology including retinal surgeries - Small ortho cases such as carpal tunnel, ORIF of a hand fracture & trigger fingers - Small...

  • Inpatient Social Worker

    1 month ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 11210 Aurora St. Lukes Medical Center - Social Services Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: hours are 0700-1530. -onsite St Luke's Medical Center rotating weekends and Holidays. MAJOR RESPONSIBILITIES Provides social work services to patients, families, and individuals including...

  • Clinical Referral Specialist II

    3 weeks ago

    Milwaukee, United States 223 Aurora Medical Group, Inc. Full time

    Department: 10402 AMG Milw South Shared Services - Business Office Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Team member will be required to schedule GMKE 'Service to GI' orders.   Major Responsibilities: Reviews work queues to identify unscheduled ordered services and connects with...

  • Retail Pharmacy Intern

    1 month ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 38411 Aurora St. Lukes Medical Center - Pharmacy: Outpatient Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: variable w/ weekends, evenings, and holidays Major Responsibilities: All completed under the supervision of a pharmacist Prepares medications for dispensing Interviews patients to obtain...

  • Pharmacy Technician

    4 weeks ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 38410 Aurora St. Lukes Medical Center - Pharmacy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: 2nd shift, full time. Rotating weekends and holidays Pharmacy Technician - Inpatient Full Time, 2nd Shift St. Luke's Medical CenterMajor Responsibilities: Develops competence in dispensing and...

  • Sonographer -St Luke's 3rd Shift

    6 days ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 36320 Aurora St. Lukes Medical Center - Ultrasound Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Sunday - Thursday 2200-0630 with weekend call and holiday rotations Major Responsibilities: Proficiently operates ultrasound equipment to perform general, vascular and/or cardiac...

  • Linen Distribution Tech

    3 weeks ago

    Milwaukee, United States CORE Linen Services Full time

    Core Linen is a leader in hospital and hospitality laundry processing services around the country. Our focus is on service, quality and safety which enable our clients to provide essential services to their patients and guests. The Company operates across 20+ states and is a portfolio company of H.I.G. Capital, based in Miami, FL. - LOCATION: Aurora St...

  • Referral Specialist

    3 weeks ago

    Milwaukee, United States Progressive Community Health Centers, Inc. Full time

    Come join our team! We are hiring!We are currently hiring a Referral Specialist - Medical in Milwaukee, WI. This is a full-time position that does not require working late nights, weekends, or holidays.Why Progressive Community Health Centers?Founded in 1999, Progressive Community Health Centers is an independent non-profit organization that operates four...

  • Neuro-Interventional Radiologic Technologist

    3 weeks ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 36343 Aurora St. Lukes Medical Center - Interventional Radiology Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First shift hours vary from 7am to 530pm end time. Participation in weekend, holiday and call rotation. Sign on bonus eligible based on experience and FTE Major Responsibilities: ...

  • Anesthesiologists - Build Your Own Schedule -FT/PT flexibility - many options with NO CALL

    3 weeks ago

    Milwaukee, WI, United States Advocate Health Full time

    Advocate Health has a great opportunity for an anesthesiologist who enjoys variety and wants to be busy. We invite you to explore your options at our Aurora St. Luke's Medical Center, a state-of-the-art facility in Milwaukee. Options include full and part-time with exceptional variety in a collegial environment. Program Overview: Aurora St. Luke's...

  • Registered Nurse

    3 weeks ago

    Milwaukee, United States 100 Aurora Health Care Metro, Inc. Full time

    Department: Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: 12 hours shifts full or part time Current Needs: 1900-0700 0300-1500 Weekend Programs also available 1500-0300 Our Emergency Department is seeking tenured nurses to join our team of nursing excellence. Join Aurora St. Luke's...

  • Invasive Cardiac Technologist

    1 month ago

    Milwaukee, United States Advocate Aurora Health Full time

    Department: 36903 Aurora St. Lukes Medical Center - Cardiac Services: Interventional Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Scheduled between the hours of 0600 and 1830. Start Times vary. Weekend and holiday rotation. Sign on bonus eligible based on experience and FTE Major Responsibilities: ...

  • Pharmacy Tech

    1 month ago

    Milwaukee, United States Advocate Health Full time

    Pharmacy Tech Full Time, 2nd Shift St. Luke's Medical Center Major Responsibilities: Develops competence in dispensing and delivery of medications. This includes developing competence in the department's use of information systems, technology, and automation used for dispensing and storage of medications. Develops competence in preparing non-sterile...

  • Registered Nurse- Spinal Cord Injury

    2 weeks ago

    Milwaukee, Wisconsin, United States LUKE Full time

    Job DescriptionJob DescriptionRegistered Nurse – Spinal Cord Injury"We encourage Military Veterans and Military Spouses to apply"SITE OF SERVICE:Spinal Cord Injury (SCI) Division at the Clement J. Zablocki VA Medical Center (Milwaukee VAMC), 5000 West National Avenue, Milwaukee, WI 53295Full Time (52 Weeks)POSITION QUALIFICATION/REQUIREMENTS: Education:...