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Aurora Health Care

Referral Processing Specialist (Remote)

Aurora Health Care, Oak Brook, Illinois, United States, 60523

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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.

Education/Experience Required

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.

Knowledge, Skills & Abilities Required

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 timeframes 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

Physical Requirements and Working Conditions

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.

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