Referral Specialist – Operations

Advocate Aurora Health

Referral Specialist managing centralized referral process in cardiovascular care. Logging complaints, processing referrals, and coordinating discharge planning for efficient patient care.

Posted 4/3/2026full-timeHazel Crest • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $22 - $33 per hourWebsite

About the role

Key responsibilities & impact

Management and navigation of the centralized referral process.
Logs member or physician complaints related to ancillary vendors as well as investigates and documents follow-up of complaints.
Works in all aspects of centralized referral process, including processing referrals to members, physicians and specialists.
Generates necessary correspondence or calls to members, physicians and office staff, managed care organizations or vendors requesting additional information.
Communicates with appropriate staff and members regarding follow-up status of referrals.
Works with UM staff to file, prepare correspondence, data entry, system documentation and other medical management related activities.
Reconciles and investigates the daily pended claims report to ensure the proper payment of claims in a timely manner.
Coordinates the initial referral and renewal of home care, DME and disposable supplies under the supervision of RN for the outpatient population.
Manages cost-effectiveness of DME purchase versus rental.
Coordinates and monitors discharge planning.

Requirements

What you’ll need

AA Degree or equivalent
3-4 years’ experience in a managed care organization, hospital or physician’s office
Medical record experience preferred and/or medical terminology
Good verbal and written communications skills.
Excellent interpersonal communication skills.
Ability to work as a team member.
Good computer keyboard proficiency.
Good organizational skills.
Ability to handle difficult calls and maintain professional conduct.
Willingness to be flexible with job responsibilities.
Certified Medical Assistant preferred.
MRT preferred.

Benefits

Comp & perks

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical record experiencemedical terminologydata entrysystem documentationclaims reconciliationcost-effectiveness analysisdischarge planning

Soft Skills

verbal communicationwritten communicationinterpersonal communicationteamworkorganizational skillsprofessional conductflexibility

Certifications

AA DegreeCertified Medical AssistantMRT