Referral Specialist
@ Quincy Physician Administrative Services IncReferral Specialist
About the job
Quincy Medical Group is a physician-led healthcare system providing coordinated, high-quality care across primary, specialty, and ancillary services. The Referral Specialist role focuses on managing referrals, authorizations, and patient communication in a busy healthcare environment, helping improve patient outcomes.
Requirements
- High school diploma or GED
- Healthcare or customer service experience
- Strong communication skills
- Organizational and problem-solving skills
- Experience with EMRs and insurance
Qualifications
- Attention to detail
- Ability to work independently
- Team collaboration skills
- Commitment to patient service
Full job description
At Quincy Medical Group, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.
With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.
About the Role
As a Referral Specialist at Quincy Medical Group, you will play a key role in coordinating patient access to specialty care services. Working closely with providers, clinical teams, insurance companies, and patients, you will process referrals, obtain prior authorizations, and ensure patients are connected to the appropriate care in a timely and efficient manner. This position requires strong attention to detail, excellent communication skills, and the ability to manage multiple priorities in a fast-paced healthcare environment.
Schedule
- Full-time position, Monday-Friday, 8:00 AM – 5:00 PM.
- Position based in Quincy, Illinois.
- Standard weekday schedule with no weekends or holidays.
- Fast-paced administrative healthcare environment focused on patient access and care coordination.
Primary Responsibilities
Process incoming referrals for specialty care services accurately and efficiently.
Obtain and manage prior authorizations from insurance companies as required.
Coordinate appointment scheduling between patients, providers, and specialty clinics.
Communicate with patients regarding referral status, appointment details, and next steps in care.
Verify insurance coverage and eligibility for referred services.
Collaborate with providers, clinical staff, and external healthcare organizations to ensure continuity of care.
Maintain accurate documentation within the electronic medical record.
Monitor referral queues and ensure timely completion of all referral workflows.
Respond to patient inquiries via phone, portal messages, and internal communications.
Support patients in navigating the healthcare system and accessing appropriate services.
Perform other duties as assigned to support patient access operations.
Qualifications
High school diploma or GED required.
Previous experience in healthcare, medical office, scheduling, insurance, or customer service preferred.
Strong communication, organizational, and problem-solving skills.
Ability to manage multiple tasks and prioritize in a fast-paced environment.
Experience with electronic medical records and insurance verification preferred.
High attention to detail and commitment to accuracy.
Ability to work independently while collaborating with clinical and administrative teams.
Commitment to providing excellent patient service and support.
Benefits
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
Access to a mental health benefit at no cost.
Employer provided life and disability insurance.
$5,250 Tuition Reimbursement per year.
Immediate 401(k) match.
40 hours paid volunteer time off.
A culture committed to community engagement and social impact.
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
The compensation for this role includes a base pay range of $16.12 - $24.08 per hour, with actual pay determined by factors such as skills, experience, education, geographic location, and internal equity. Additional compensation may be available through bonuses and other incentives. Base pay is only a portion of the total rewards package.
If you are committed to putting our patients first and helping shape the future of care, you belong at QMG.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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