Top 6 Referral specialist Jobs in Kenosha Wi

Prior Authorization/Referral Specialist
Froedtert South, Inc. —Pleasant Prairie, WI
- $17.00 - $25.25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- 403(b) matching
- Health insurance
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RCM Authorizations Coordinator
Art of Recovery Services NFP —Libertyville, IL
- From $65,000 a year
- Full-time
- Hybrid work
- Customer service
- HIPAA
- Mid-level
- Health savings account
- Health insurance
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2h
Assessment & Referral RN (Days Weekend Baylor Fri. Sat. Sun.) FT
LAKE BEHAVIORAL HOSPITAL —Waukegan, IL
- $33 - $46 an hour
- 8 hour shift
- Acute care
- Nursing
- Vital signs
- Free parking
- Paid holidays
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9d
Assessment & Referral RN (OVN Thurs - Sat.)
LAKE BEHAVIORAL HOSPITAL —Waukegan, IL
- $33 - $46 an hour
- Overnight shift
- Acute care
- Nursing
- Vital signs
- Free parking
- Paid holidays
Quick Apply

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Care Coordinator (Choice Program)
Premier Home Health Care Services, Inc. —Chicago, IL
Must possess a BA/BS degree in social science, social work or related field. A personal vehicle and valid insurance are required. Development of a case plan.
From $23 an hour
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Access Center Coordinator
Nephrology Associates of Northern Illinois and Indiana —Addison, IL
Manage incoming calls, route appropriately, and provide courteous assistance. This position also supports clinical and billing operations by maintaining patient…
$20 - $25 an hour
Quick Apply

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Referral Coordinator
MSA Primary Care —Newark, OH
Monitor incoming emails and voicemails to the referral department. Access patient charts, creating referral orders and pulling clinical information to send.
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12d
Referral Specialist
PrimaryOne Health —Columbus, OH
Utilizes internal software and telephone system to enter or retrieve data related to the referral/scheduling of appointments.

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Prior Authorization/Referral Specialist

Froedtert South, Inc. -
Pleasant Prairie, WI

Quick Apply

Job Details

Part-time
$17.00 - $25.25 an hour

Benefits

403(b) matching
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
403(b)

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Word embeddings
High school diploma or GED
Documentation tools
Patient interaction
Medical terminology

Full Job Description

POSITION PURPOSE
- The Prior-Authorization/Referral Specialist plays a key role in supporting patient access to care by verifying insurance eligibility and benefits, and securing required pre-certifications, authorizations, and referrals for both facility and professional services. This position ensures timely and accurate communication with payors and healthcare providers, obtains necessary clinical documentation to support medical necessity, and maintains detailed records throughout the authorization process.
MINIMUM EDUCATION REQUIRED
- High School or GED
MINIMUM EXPERIENCE REQUIRED
- One (1) year of insurance/prior authorization experience (preferred)
- Experience and familiarity with using insurance portals
LICENSES / CERTIFICATIONS REQUIRED
- None
KNOWLEDGE, SKILLS & ABILITIES REQUIRED
- Strong customer service orientation with excellent interpersonal and computer skills.
- Working knowledge of medical terminology and healthcare documentation standards.
- Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high-volume environment.
- Proficient with internet-based tools, email communication, and Microsoft Office applications (e.g., Word, Excel, Outlook).
- Strong written and verbal communication skills, with the ability to interact professionally with patients, clinicians, and insurance representatives.
- Proven experience in prior authorizations, referrals, patient registration, insurance verification, and understanding of various health insurance plans (preferred).
- Proficient in navigating online prior authorization portals and working with multiple commercial and government payors (preferred).
- Knowledge of medical coding systems, including ICD-10, CPT, and HCPCS codes (preferred).
PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
- Verify insurance eligibility and benefits for scheduled services to determine prior-authorization or referral requirements.
- Initiate and follow through on prior-authorization and referral requests with payors, ensuring timely approvals.
- Collect and submit required clinical documentation to support medical necessity and facilitate authorization.
- Document all authorization activities accurately in the electronic health record (EHR) and/or designated tracking systems.
- Communicate authorization status and requirements clearly to providers, clinical staff, and patients as needed.
- Coordinate with providers and clinical teams to obtain additional information or clarification required by payors.
- Maintain up-to-date knowledge of payer policies, coding guidelines (ICD-10, CPT, HCPCS), and authorization processes.
- Ensure timely resolution of authorization-related issues to prevent delays or denials in patient care or billing.
- Provide exceptional customer service when interacting with internal teams, external payors, and patients.
- Participate in continuous quality improvement efforts, including audits, training, and performance reviews.
  
  Salary Range: $17.00 to $25.25/hr (based on experience)
  Benefits:
  
  Medical, dental and vision benefits available
  403(b) company match available
  Tuition reimbursement
  Employee discount program
  Competitive PTO

Location: Froedtert South, Inc. · PATIENT ACCESS
Schedule: Regular Part-Time, Days, 40

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Refine Your Search

referral specialist jobs in kenosha wi

Prior Authorization/Referral Specialist

RCM Authorizations Coordinator

Assessment & Referral RN (Days Weekend Baylor Fri. Sat. Sun.) FT

Assessment & Referral RN (OVN Thurs - Sat.)

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