Digestive Health Referral Coordinator- Kalamazoo location, Full-Time Monday-Friday (80 hours) 8:00AM-5:00PM

Bronson Healthcare Group•Kalamazoo, MI

1d•Onsite

About The Position

The Digestive Health Referral Coordinator coordinates all aspects of the referral process among patients, physicians, specialty offices, primary care offices, and insurance companies. The role manages electronic health record referral and order work queues according to office and provider preferences and patient needs, coordinates and schedules referral activity, obtains accurate billing and demographic information, and secures prior authorization under payer guidelines. The coordinator processes referrals using CPT and ICD-9 coding, communicates delays or denials to the ProHealth team and employer, and participates in case management meetings. For Digestive Health, the role also processes and schedules Digestive Health procedures throughout the system, is cross-trained to assist with patient check-in and check-out, and works on a rotational basis covering the in-person scheduling desk. Additional duties may be assigned based on department needs. Direct patient-care employees must demonstrate competencies specific to the population served. This is a full-time, first-shift role at the Kalamazoo Medical Office Pavilion (South Campus), Monday through Friday, with the posting listing 8:00 AM–5:00 PM and 40 scheduled weekly hours. The work involves substantial computer/CRT use, producing high levels of mental and visual fatigue, and sustained close-tolerance work requiring hand-eye coordination. Physical demands include regular walking, standing, stooping, bending, and sitting, with some lifting of light-weight objects.

Requirements

High school diploma or GED.
1–2 years of related experience and/or training.
Knowledge of medical terminology, CPT, and ICD-9 coding.
Excellent computer skills, including Microsoft Office and Medic.
Excellent verbal and written communication skills.
Ability to maintain positive customer service.
Ability to establish effective working relationships with office staff and employees in a team environment.
Ability to maintain the highest level of confidentiality.
Effective prioritization skills and ability to manage time independently.
For Financial Clearance: high school diploma or GED and 1–2 years of related experience and/or training.
For ProHealth: Medical Assistant registry or certification, or an LPN license in Michigan, required within 90 days of hire.

Nice To Haves

Successful completion of a Medical Assistant or LPN program.
Current Medical Assistant registry or certification, or an LPN license in Michigan in good standing and valid in the state.

Responsibilities

Coordinate the referral process among patients, physicians, specialty offices, primary care offices, and insurance companies.
Manage electronic health record referral and order work queues according to office/provider preferences and patient needs.
Coordinate and schedule referral activity.
Process and schedule Digestive Health procedures throughout the system.
Assist with patient check-in and check-out after cross-training.
Cover the in-person scheduling desk on a rotational basis.
Obtain accurate billing and demographic information.
Ensure prior authorization for requested services under payer guidelines.
Process referrals using CPT and ICD-9 coding.
Communicate delays and denials to the ProHealth team and employer.
Participate in case management meetings.
Maintain patient confidentiality and provide excellent customer service, including problem-solving payor issues.
Perform additional duties based on department needs.