Referral Specialist II Apply
Referral SpecialistHSHS Medical Group is seeking a Referral Specialist to support our Referral Center. The Referral Specialist is responsible for reviewing all referrals submitted throughout the state for authorization and pre-certification requirements prior to their scheduled appointment, test or procedure. Submit authorization requests and reconsiderations when appropriate. Coordination of treatment plan with clinical teams, treating facilities and patients. Mentor/train colleagues handle escalated referrals and lead subject specific meetings.Position specifics:Department: Pre-Access ServicesCore Function: Corporate ServicesSchedule: Full-time, 40 Hours/WeekFacility: O'Fallon Referral CenterLocation: O'Fallon, ILCompensation that aligns with your experienceEducation qualifications:High School Diploma or GED is required.Experience qualifications:2 years experience with submissions and appeals for ambulatory referrals, advanced imaging and/or procedure pre-certifications is required. 3 years of healthcare or clerical/administrative experience is required.Medical Terminology experience is required.Customer Service experience is required.Call Center experience is preferred.Clinical experience is preferred.Certifications, licenses and registrations:Certified Medical Assistant is preferred.Benefits:Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.Retirement benefits including HSHS contributions.Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!HSHS and affiliates is an Equal Opportunity Employer (EOE). HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.

