Referral Coordinator-1

Bronson Healthcare

4d • Onsite

About The Position

The Referral Coordinator coordinates all aspects of the referral process, including referral activity in the office between the patient, physician, specialty office, primary care office, and insurance company. Employees providing direct patient care must demonstrate competencies specific to the population served.

Requirements

• High school diploma or general education degree (GED) and 1-2 years related experience and/or training required
• Knowledge of medical terminology, and CPT, ICD-9 coding
• Must have excellent computer skills (i.e. Microsoft Office, Medic).
• Must have excellent verbal and written communication skills.
• Ability to maintain positive customer service.
• Ability to establish effective working relations with office staff and employees in a team environment.
• Must 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 preferred
• Current Medical Assistant Registry or Certification, or LPN license preferred (must be in good standing and valid in the state of Michigan).
• For ProHealth ONLY - Medical Assistant Registry or Certification, or LPN license in the state of Michigan required within 90 days of hire.

Responsibilities

• Manages electronic health record referral/order work queues according to office/provider preference and the needs of patients.
• Coordinates and schedules referral activity.
• Obtains accurate billing and demographic information.
• Assures prior authorization for requested services under payer guidelines.
• Communicates delays/denials to ProHealth team and employer.
• Process referrals by CPT, ICD-9 coding.
• Participates in case management meetings.
• Additional duties based on department

Benefits

• Bronson Healthcare is a community-owned, not-for-profit health system that has been serving southwest Michigan since 1900. Today, with a workforce of 9,000 people and 1,500 medical staff members, it is the area’s largest employer and leading healthcare system. Bronson provides care in virtually every specialty and offers a full range of services from primary care to critical care at more than 100 locations. Bronson’s exceptionally high quality standards enable us to do what’s right for our patients and their families. We are empowered as individuals and as teams, to apply our skills and experience so that every patient receives safe, timely and effective treatment. What’s more, our state-of-the-art, technology and evidence-based processes give us the tools we need to deliver the right care, at the right time. By putting each patient and their family at the center of our work, we demonstrate the dignity and respect we have for each individual we serve. This unwavering commitment to serving others combined with our unique healing environment helps make the patient experience here an exceptional one. The excellence and Positivity of our employees and medical staff has contributed to Bronson Healthcare being ranked by Forbes as one of America’s Best-In-State Employers (2022-23), by Newsweek as one of America’s Greatest Workplaces for Women (2023) and by the National Association for Business Resources as one of the 2023 Top 101 Best and Brightest Companies to Work For.

What This Job Offers

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