Business Support, Communication Skills, Customer Support/Service, Denial of Service (DoS), Dental Insurance, Detail Oriented, Documentation, Healthcare, High School Diploma, Insurance, Insurance Certifications, Medical Record System, Medications, Organizational Skills, Patient Care, Record Keeping, Time Management, Vision Plan
Location: Quincy, IL
Pay Range: $16.12 - $24.08 per hour | Based on Relevant Experience
Schedule: Full-Time, Monday – Friday, 8:00 a.m. – 5:00 p.m.
About the Role:
As a Referral Specialist at Quincy Medical Group, you will play a key role in helping patients access the care they need. You’ll be responsible for coordinating referrals to specialists and other facilities, ensuring timely and accurate processing, and working closely with providers, patients, and insurance companies. This position requires attention to detail, strong organizational skills, and a patient-first mindset. You will also be responsible for obtaining pre-certifications, verifying insurance benefits, and supporting the business office in resolving retroactive service reviews.
Primary Responsibilities:
- Process incoming and outgoing referrals and maintain accurate records of referral forms.
- Obtain pre-certifications for procedures, surgeries, admissions, and specialty medications.
- Verify insurance benefits and communicate medical necessity details with insurance carriers.
- Coordinate with providers’ offices and external facilities to ensure timely and accurate scheduling.
- Provide follow-up information to insurance companies as needed for approved services.
- Assist the business office with retroactive reviews for denied services or referrals.
- Correct errors and update documentation as needed.
- Maintain thorough and timely documentation in the electronic health record system.
- Collaborate with team members to support seamless patient care.
Benefits & Compensation
- Core Benefits: Comprehensive health, dental, and vision insurance, including a health navigation assistant.
- Life & Disability Insurance: Employer-provided life insurance and short- and long-term disability coverage.
- Tuition Reimbursement: Up to $5,250 annually to support your educational goals.
- Paid Time Off: Starting at 17 frontloaded PTO days, 6 paid holidays, and 5 paid volunteer days.
- Parental Benefits: Up to 12 weeks of paid parental leave, childcare assistance, and financial support for adoption and surrogacy.
- Financial Perks: Bi-weekly 401(k) employer match and access to earned wages before payday through the Instant Pay Benefit.
Qualifications:
- High school diploma or equivalent (GED) required.
- 6–12 months of related experience or training preferred; or equivalent combination of education and experience.
- Strong attention to detail, time management, and organizational skills.
- Excellent communication and customer service abilities.
Discover Your Future at Quincy Medical Group!
This position offers an exciting opportunity to contribute to a well-established and recognized healthcare group while advancing your professional growth in a supportive environment. Apply today!
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