Referral Support Specialist (Hybrid)

Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high quality affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.

Erie Family Health Centers, a top workplace in Chicago and suburbs, is looking for a valuable addition to our Operations Team!  The Referral Support Specialist (RSS) performs primary duties associated with referring patients to internal and external health care resources. Responsible for processing referrals, handling referrals phone calls and closing the loop on referrals. Directly work with patients, hospitals and providers regarding referral processes and appointment requests. RSS will collaborate with all team members on the Referrals, RHS and HIM Teams. RSS presents the best alternatives to providers to expedite referral completion and other assigned duties. The RSS exhibits quality customer service for patients and staff.

At Erie, we are proud to provide competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more! Erie employees are eligible for Erie’s Full Benefits Package that includes Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary. Annual Paid Time Off: starting at 15 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, plus room for growth and career advancement.

*Compensation is based on each candidate’s experience, skills and education within the range identified for the role. Candidates who meet the minimum requirements of the role will start at entry in the range. Any additional skills, experience and education will be reflected in the compensation offered.

Main Duties & Responsibilities

• Processes and manages referral requests through Erie’s electronic health record (EHR), verifying patient’s financial status, and verifies appropriate internal and external referral resources according to Erie’s referral guidelines.
• Ensures all needed information is in the referral through Erie’s electronic health record including patient diagnosis and reason for referral; communicate with providers if any clinical information is missing.
• Verifies patient insurance prior to processing referral using payor platforms.
• Processes referral with the correct hospital contact information and scheduling instructions.
• Send referrals via Fax or Care Everywhere Referral Management (CERM) to the hospital partner for care coordination.

Experience:

Preferred:

• 1 year of experience in healthcare/medical office or equivalent, a plus.

Skills and Knowledge

Required:

• Basic computer skills.
• Excellent customer service skills.
• Ability to work independently and within a team.
• Cultural competency to work with a diverse patient population.

Preferred:

• Proficiency in medical office Spanish a plus.
• Intermediate proficiency in Microsoft Office a plus.
• Intermediate EPIC skills a plus.

Physical Requirements:

• May be required to talk to and listen to patients, clients, or internal customers, for extended periods of time.
• May be required to work on a computer for extended periods of time.

Hybrid Role Requirements:

• Strong Internet connection, minimum MBPS 75 when working from home.
• Must adhere to hybrid work schedule as required by department.
• Must always adhere to hybrid work guidelines.
• May be required to come on site at any time.
• Must always meet performance expectations.

THE ERIE ADVANTAGE PLEDGE: 

Working Together for What Matters Most

Erie makes a pledge that all current and future employees can feel confident that:

• Our mission, vision, and values unite us.
• Our voices matter.
• We do things well.
• Our inclusive culture promotes balance and belonging.
• We find our career sweet spot at Erie.