Referral Specialist at Hospital Sisters Health System

O'Fallon, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Feb, 26

Salary

26.83

Posted On

17 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral Management, Authorization Processes, Customer Service, Healthcare Experience, Clerical Skills, Call Center Experience, Clinical Experience, Communication Skills, Attention to Detail, Problem Solving, Time Management, Team Collaboration, Medical Terminology, Insurance Knowledge, Scheduling, Data Entry

Industry

Hospitals and Health Care

Description

Pay Range: $18.50 - $26.83 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. HSHS is seeking an experienced Referral Specialist with multiple specialties. Responsibilities include reviewing scheduled services of ancillary, specialty services or procedural referrals submitted throughout the division to determine authorization needs. Experience with obtaining surgical, procedural, or imaging authorizations is preferred. Not incoming referrals to a clinic from external offices but ones that are working with insurance companies for authorizations. Position Specifics: o Department: Referrals o Core Function: Corporate Services o Schedule: Full-time, Days, Hours: 8:30-5:00 PM o Facility: O'Fallon Referral Center o Location: O'Fallon, IL o Compensation that aligns with your experience Education Qualifications High School Diploma or equivalent is required Experience Qualifications 1-2 years of healthcare or clerical/administrative experience is required. 1-2 years of customer service experience is required. 1-2 years of call center experience is preferred. 1-2 years of clinical experience is preferred. Certifications, Licenses and Registrations Certified Medical Assistant is preferred. Job Description Scheduled Weekly Hours: 40 Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient. Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS 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! Benefits 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. Looking to begin your nursing career with HSHS as a new graduate nurse? Simply type your graduation year in the search bar and select search to view available opportunities. If you are a current HSHS colleague, please do not apply through this external careers website. You will need to visit the Jobs Hub in Workday to apply as an internal colleague. Imagine an organization where you’re empowered to care for all who need assistance, regardless of means. To provide quality, patient-centered, holistic care—and build caring relationships. To master innovations that make a profound difference within our halls, throughout our communities, and into the future. All of these aspirations are within your reach at Hospital Sisters Health System, a multi-institutional health care system serving communities throughout Illinois and Wisconsin. Become part of our team in a wide array of areas and enjoy an experience beyond belief. Not finding the perfect job for you? Join our talent network by creating a job alert after you sign into the portal. Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 11,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient. HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues. This does not apply to positions that are classified as 100% remote. 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.

Responsibilities

The Referral Specialist will review scheduled services of ancillary and specialty services to determine authorization needs. The role involves working with insurance companies to obtain necessary authorizations for surgical, procedural, or imaging services.