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Medical Referral Analyst

Illinois, USA

530 Days ago

Job Description


We are seeking a detail-oriented and highly organized Ancillary Medical Services Referral Analyst to join our team!

In this role, you will manage and coordinate the referral process for ancillary medical services, ensuring that patients receive the appropriate care in a timely and efficient manner. You will work closely with healthcare providers, patients, insurance companies, and internal departments to facilitate the referral process, track authorizations, and resolve issues.

This person will act as a liaison between patients, healthcare providers, insurance companies, and the internal referral team to coordinate and expedite referrals.A strong sense of follow through is required to document, communicate, and keep meticulous records to facilitate the care of our patients.

Requirements

Education & Experience:

o High school diploma or equivalent required; Bachelor of Science (BS) OR Associate's degree in healthcare administration or related field preferred.

o Previous experience (1+ years) in healthcare administration, medical billing, coding, or referral management preferred.

o Familiarity with insurance policies, authorization processes, and medical terminology is a plus.

Skills & Abilities:

o Exceptionally strong communication and interpersonal skills to interact effectively with patients, providers, and insurance companies.

o Excellent organizational and multitasking abilities with attention to detail.

o Proficiency in Microsoft Office 365 (Excel, Word, Outlook)

o Experience with Electronic Health Records (EHR) systems or database management.

o Ability to problem-solve and think critically in high-pressure situations.

o Knowledge of healthcare regulations, insurance requirements, and referral processes.

o Strong time management skills with the ability to handle multiple priorities.

o A team player with a commitment to fostering a collaborative culture.

o Commitment to continuous learning and skill development through ongoing training (minimum of 2 hours per month).

o Adhere to company policies, procedures, and reporting requirements.

Benefits

  • Competitive base salary, profit sharing, 401k matching, generous time off, and career growth opportunities
  • A relaxed, yet upbeat, work environment, with a jeans professional dress code
  • Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com)
  • We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical
  • Want to see more? Check out our:
    • Facebook: https://www.facebook.com/RisingMedicalSolutions
    • LinkedIn: http://www.linkedin.com/company/rising-medical-sol...
    • Glassdoor: http://www.glassdoor.com/Overview/Working-at-Rising-Medical-Solutions-EI_IE322608.11,35.htm pages

    If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!

    Qualification

    High School or equivalent

Key Skills Required

Microsoft OfficeAbility to HandleAttention to DetailAuthorizationBillingCommitmentCommunicationDatabaseDatabase ManagementDevelopmentFacilitateHealthcareHealthcare IndustryHighly OrganizedInsuranceInterpersonal SkillsLearningManagementMedical BillingMedical ServicesMedical TerminologyMultitaskingProfit SharingReferral ManagementReportingScienceSkill DevelopmentTeam PlayerTime ManagementTrainingUpBeat

Job Overview


Job Function: Other

Job Type: Full Time

Workplace Type: Remote

Experience Level: Entry level

Salary: Competitive & Based on Experience

Experience: 1 - 2 yrs

Contact Information


Company about us:

Rising Medical Solutions is a leading national managed care firm that has been providing top-notch medical cost containment and medical care management services since 1999. Our client base includes insurance carriers, TPAs, self-insured employers, and government entities of all sizes. With our innovative solutions and dedicated team, we have positively...

Company Name: Rising Medical Solutions

Recruiting People: HR Department

Website: http://www.risingms.com

Headquarter: Chicago, Illinois, USA 60654

Industry: Insurance

Company Size: 51-200 Employees

Location

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