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Business                         Referral Specialist I

Visa                                   GC/Citizen

Location                           540 Lake Cook Road; Deerfield IL 60015

Division                            Health care

Contract                           4 Month Temp-to-Perm

Work hours                      M-F 09:30AM to 06:00PM

SUMMARY

· Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services.

· Acts as a liaison between hospitals, physicians, health plans, vendors and patients.

MAJOR JOB DUTIES AND RESPONSIBILITIES

· Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.

· Reviews referrals for completeness and follows up for additional information if necessary.

· Assigns referrals to staff as appropriate.

· Verifies insurance coverage and obtains authorizations if needed from insurance plans.

· Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.

· Contacts physician offices as needed to obtain demographic information or related data.

· Enters referrals, documents communications and actions in system.

· Enters referrals, documents communications, actions and other data in system.

EDUCATION/EXPERIENCE

· Requires high school diploma and 1-3 years’ experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.

SKILLS

· Excellent customer-service and telephone skills required.

· Excellent oral and written communications skills required.

If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590.

Thanks & Regards,

Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W: 678 405 3590

ranadheerm@mindlance .com