Referral Coordinator

at Amergis in Chicago, Illinois, United States

Job Description

Amergis is looking for Referral Coordinators. They will be Working with a team of Home/Community Based Services (HCBS) Waiver staff members, the HCBS Referral Coordinator assists with the completion of the administrative tasks to support the requirements of the Department of Rehabilitation Services (DRS) and Department of Aging (DOA). Timely completion of forms, authorizations and data entry supports the provision of care and timeliness of services. The referral coordinator also responds to vendor questions regarding authorizations and service plans in a timely manner.

Typical Duties

+ Completes initial authorizations consistent with service plan details.

+ Updates authorizations based upon changes in service plan requirements.

+ Updates file with end date authorizations when the member has switched to another Managed Care Organization, is hospitalized, or is out of the country for a prolonged period or opts out.

+ Forwards authorization information to providers upon authorization entry.

+ Answers all inquiries in regards to authorizations from CountyCare, vendors or complaints.

+ Notifies supervisor of vendor related issues.

+ Processes waiver transfers, ensure transfer forms are completed in time and loaded into care management system.

Minimum Qualifications

+ High School Diploma or GED required

+ Two (2) years of experience in claims processing or utilization review required

+ One (1) year of managed care experience required

+ One (1) one year of experience using electronic systems to retrieve or review data

+ One (1) one year of experience with a health care organization

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

+ Competitive pay & weekly paychecks

+ Health, dental, vision, and life insurance

+ 401(k) savings plan

+ Awards and recognition programs

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.