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

Bronson Healthcare•Kalamazoo, MI

2d•Onsite

About The Position

The Digestive Health Referral Coordinator coordinates all aspects of the referral process between patients, physicians, specialty offices, primary care offices, and insurance companies. The role includes processing and scheduling Digestive Health procedures throughout the system, managing electronic health record referral and order work queues, and helping patients receive authorized services. The coordinator is cross-trained to assist with patient check-in and check-out and covers the in-person scheduling desk on a rotational basis. The position is based at Bronson’s Medical Office Pavilion in Kalamazoo and is full-time, Monday through Friday, with a first-shift schedule of 8:00 a.m. to 5:00 p.m.

Requirements

High school diploma or GED and 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.

Nice To Haves

Successful completion of a Medical Assistant or LPN program.
Current Medical Assistant registry or certification, or an LPN license in good standing and valid in Michigan.
For ProHealth positions, Medical Assistant registry or certification, or an LPN license in Michigan, is required within 90 days of hire.

Responsibilities

Coordinate and schedule referral activity.
Manage electronic health record referral and order work queues according to office or provider preferences and patient needs.
Process and schedule Digestive Health procedures throughout the system.
Obtain accurate billing and demographic information.
Ensure prior authorization for requested services under payer guidelines.
Communicate delays and denials to the ProHealth team and employer.
Process referrals using CPT and ICD-9 coding.
Participate in case management meetings.
Cross-train to assist with patient check-in and check-out.
Cover the in-person scheduling desk on a rotational basis.
Maintain patient confidentiality and excellent customer service, including resolving payor issues.
Perform additional duties based on department needs.