Location: : Southeast Side Community Health Center – 3528 E. 118th St., Chicago 60617
Full-Time
Pay Range: $17.00–$18.00 per hour
At Aunt Martha's Health & Wellness, we boldly commit to supporting the well-being of our communities, ensuring equity in access, and delivering exceptional care inspired by a culture of innovation. We take a responsible approach to creating environments that allow us to do what we do best—provide healthcare and wellness services to those who need them most.
Position OverviewThe Referral Specialist plays a vital role in ensuring patients receive timely access to specialty care and medical services by coordinating referrals, processing medical orders, and maintaining communication with patients, providers, hospitals, and health plans.
This position is responsible for reviewing medical orders, verifying insurance eligibility, obtaining prior authorizations, and monitoring referral status to ensure services are completed efficiently. The Referral Specialist serves as a key liaison between patients, providers, and insurance carriers while delivering exceptional customer service and supporting positive patient outcomes.
Key ResponsibilitiesReferral Coordination & Patient Support- Review and process referrals, diagnostic orders, surgery requests, and transportation requests.
- Verify insurance eligibility and ensure referrals meet organizational and payer requirements.
- Obtain prior authorizations as required by health plans.
- Serve as the primary point of contact for patients regarding referral and order status.
- Act as a liaison between patients, providers, specialists, hospitals, and referring agencies to coordinate timely patient care.
- Maintain accurate referral documentation within the Athena Electronic Health Record (EHR).
- Scan and upload specialist reports, hospital documentation, and referral communications into patient records.
- Ensure all patient information is documented accurately while maintaining strict HIPAA compliance.
- Maintain ethical standards and patient confidentiality at all times.
- Deliver exceptional customer service utilizing the AIDET model.
- Communicate referral updates and authorization status to patients by phone and mail.
- Answer incoming telephone calls professionally and route messages appropriately.
- Respond promptly to internal and external customer inquiries while ensuring a positive patient experience.
- Utilize Athena EHR to document patient information and referral activity.
- Maintain accurate records and complete data entry in a timely manner.
- Attend required meetings, trainings, and complete all Core Curriculum requirements.
- Perform additional duties as assigned to support clinic operations.
- Competitive hourly pay: $17.00–$18.00 per hour
- Health, Dental, and Vision Insurance
- Life & Disability Insurance
- Paid Vacation, Sick Time, and Holidays
- Retirement Plan
- Employee Assistance Program (EAP)
- Employee Discounts on cell phone plans, restaurants, and more
- High School Diploma or GED required.
- Minimum of six months of experience working in a medical office.
- Proficiency with Microsoft Office applications.
- Strong computer and data entry skills.
- Excellent verbal and written communication skills.
- Experience working with Athena or another Electronic Health Record (EHR) system.
- Knowledge of insurance verification, referrals, and prior authorization processes.
- Strong organizational skills with exceptional attention to detail.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
- Bilingual English/Spanish is a plus.
- Current driver's license.
- Current automobile insurance.
- Ability to work evenings, weekends, and holidays as needed.
- Commitment to maintaining patient confidentiality and HIPAA compliance.
- Ability to work independently and collaboratively as part of a healthcare team.
Aunt Martha's Health & Wellness is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, or any other characteristic protected by applicable law.
Skills Required
- High school diploma or GED
- At least six months of medical office experience
- Proficiency with Microsoft Office applications
- Strong computer and data entry skills
- Excellent verbal and written communication skills
- Experience with Athena or another electronic health record system
- Knowledge of insurance verification, referrals, and prior authorization processes
- Strong organizational skills and attention to detail
- Ability to manage multiple priorities in a fast-paced healthcare environment
- Bilingual English and Spanish communication skills
- Current driver's license
- Current automobile insurance
- Ability to work evenings, weekends, and holidays as needed
- Commitment to patient confidentiality and HIPAA compliance
- Ability to work independently and collaboratively as part of a healthcare team
What We Do
Aunt Martha’s is a family of more than 550 staff and volunteers. We are health care providers, social workers, educators, counselors, and advocates. We are as diverse as the people and communities we serve. We are parents who know what it is to have a sick, hurting or scared child. We have relied on the help of others to overcome our own challenges. We honor people’s strengths, resourcefulness and resilience. We offer compassion. We provide supportive, professional care. We are a team – skilled and specialized. From the psychiatrist treating children in downstate Illinois, to the dental hygienist caring for a homeless person in Kane County; and from the therapist helping a youth in crisis on the streets of Chicago, to the doctor delivering a baby in Kankakee. Our staff are the best and the brightest in the field. We are all Care Coordinators – intensely dedicated to our patients and clients, connecting each person with exactly what they need, from the services our organization provides to the specialized care offered by our collaborating partners. We are Aunt Martha’s.
