Referral Coordinator- Digestive Health- Battle Creek Location, Monday-Friday 8:00AM-5:00PM, Full Time-80 hours per pay period

Bronson Healthcare Group•Battle Creek, MI

8d•Onsite

About The Position

The Referral Coordinator coordinates all aspects of the referral process between patients, physicians, specialty offices, primary care offices, and insurance companies. The role manages referral activity and electronic health record referral/order work queues according to office and provider preferences and patient needs. The coordinator schedules referrals, obtains accurate billing and demographic information, ensures prior authorization under payer guidelines, processes referrals using CPT and ICD-9 coding, and communicates delays or denials to the ProHealth team and employer. The position also participates in case management meetings and performs additional duties as assigned. For Digestive Health, the role processes and schedules Digestive Health procedures throughout the system, is cross-trained to assist with patient check-in and check-out, and rotates coverage of the in-person scheduling desk. Employees providing direct patient care must demonstrate competencies specific to the population served.

Requirements

High school diploma or GED.
1–2 years of related experience and/or training.
Knowledge of medical terminology and 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.

Responsibilities

Coordinate the referral process among patients, physicians, specialty offices, primary care offices, and insurance companies.
Maintain patient confidentiality and provide excellent customer service, including resolving payor issues.
Manage electronic health record referral/order work queues according to office and provider preferences and patient needs.
Coordinate and schedule referral activity.
Obtain accurate billing and demographic information.
Ensure prior authorization for requested services according to 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.
Process and schedule Digestive Health procedures throughout the system.
Cross-train to assist with patient check-in and check-out.
Cover the in-person scheduling desk on a rotational basis.
Perform additional duties based on department needs.