Referral Coordinator- Infusion

Job Description Summary

The Referral Coordinator positionis responsible forcoordinating all referral requests and following up on all necessary documentation,certificationand authorization requirements. A key responsibility is using the automated managed care information system to process referrals.

Where You Will Work:

AdvocateMedical Group (AMG) is part ofAdvocate Health, one of the nation’s largest nonprofit health systems. With more than 350 locations across Illinois and Wisconsin, AMG offers a wide range of specialties and services, including primary care, medical and surgical care, pediatrics, women’s health, behavioral health, and more. Our team is dedicated to delivering exceptional care and improving health outcomes in the communities we serve. Joining AMG means being part of a collaborative, patient-focused environment where innovation and quality care thrive.

We’reLooking For:

• H.S. diploma or G.E.D.

• 3-4years experiencein a managed care organization,hospitalor physician’s office with 1 year referral experience

• Excellent medical terminology comprehension and its effective usage

• Completion of 1 Medical Terminology class with certificate of completion.

WhatYou’llDo:

Monday-Friday 8A-5P

As aReferral Coordinator,you’llplay a vital roleonthe care team – supporting providers, connecting with patients, and helping ensure a seamless, compassionate experience every day.  

As a key member of the ambulatory care team, you will: 

• Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.

• Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended.

• Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requestingadditionalinformation and requirements for referral authorization.

• Prepare correspondence, input referral information in the automated system,collectsadditionalmedical necessity supporting documentation andprovide toappropriate parties for approval.

• Identifiespotential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges fromreferralby communication with PHO and other managed care specialists.

Your feedback matters.Everyteammate’svoice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.

Physical Requirements and Working Conditions: 

• Ability to work independently. 

• Ability to handle stress and high workload volumes. 

• Ability to communicate denial of services to members and providers. 

• If position has direct patient care or direct patientcontactthe following lifting requirement supersedes anypreviouslifting requirement effective 06/01/2015.Ability to lift up to 35 pounds without assistance.For patient lifts of over 35 pounds, or when patient is unable toassistwith the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.

Ready to Take the Next Step:

Apply Now!