Referral Coordinator

Orthopaedic Associates of Muskegon•Muskegon, MI

2d•Onsite

About The Position

The Referrals Coordinator processes a high volume of incoming referrals and ensures the information and authorizations needed for scheduling are in place. The role works with patients, referring offices, insurers, schedulers, and internal staff to help patients access orthopaedic care. This is a full-time, on-site position at OAM in Muskegon, Michigan. The typical schedule is Monday through Friday, 8:00 AM–5:00 PM. The position reports to the Operations Manager and Director of Operations.

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.

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, as 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 and respond promptly to internal questions about referral status.
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.
Delta dental coverage
Vision coverage
Company-paid short-term disability insurance
Company-paid long-term disability insurance
Company-paid life insurance
After one year, qualifying employees can join the 401(k) plan, which includes a 3% safe harbor contribution and a discretionary profit-sharing contribution.