Referral Coordinator

Orthopaedic Associates of Muskegon • Muskegon, MI

1d • Onsite

About The Position

The Referral Coordinator processes a high volume of incoming referrals and ensures that required information and authorizations are in place before scheduling. The role works with patients, referring offices, insurers, schedulers, and internal teams to help patients reach the appropriate orthopaedic provider and arrive prepared for appointments. Duties include reviewing referral records, verifying patient and insurance information, obtaining authorizations, and communicating about referral status.

This is a full-time, on-site position at OAM in Muskegon, Michigan. The typical schedule is Monday through Friday, 8:00 AM to 5:00 PM. The position reports to the Operations Manager and Director of Operations. OAM + i’move describes its workplace as committed to employee well-being, work-life balance, career growth, teamwork, service excellence, confidentiality, safety, and an inclusive environment.

Requirements

• High school diploma or higher.
• Knowledge of medical terminology and insurance authorization processes.
• Computer proficiency.
• Strong organization, accuracy, customer service, communication, and problem-solving skills.
• Ability to prioritize a high volume of work, work independently, and collaborate with patients, staff, referring offices, and insurers.

Nice To Haves

• Experience in a medical setting is preferred.

Responsibilities

• Process referrals received through HOLON, fax, and Assort Health.
• Review notes, imaging, and other records for completeness and request missing information from referring offices.
• Determine whether patients are new or established, verify demographics and insurance coverage, and enter accurate information in Athena.
• Coordinate with Patient Accounts to verify auto insurance and workers’ compensation information.
• Contact patients with outstanding balances to arrange payment plans before scheduling, when needed.
• Review upcoming appointments for required authorizations.
• Obtain and upload authorizations in the electronic medical record and promptly follow up on pending requests.
• Route completed referrals to the appropriate scheduler.
• Respond promptly to internal questions about referral status and return patient calls within 24 hours.
• Protect patient confidentiality and provide courteous service when addressing patient questions or concerns.

Benefits

• Competitive pay
• Paid time off
• Paid holidays
• Eligible employees have access to four Priority Health medical plans with HSA and FSA options.
• Eligible employees have access to Delta dental and vision coverage.
• Company-paid short- and long-term disability insurance and life insurance for eligible employees.
• After one year, qualifying employees can join the 401(k) plan, which includes a 3% safe harbor contribution and a discretionary profit-sharing contribution.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED