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

Bronson Healthcare•Battle Creek, NE

2d•Onsite

About The Position

The Referral Coordinator for Digestive Health coordinates all aspects of the referral process among patients, physicians, specialty offices, primary care offices, and insurance companies. The role manages referral and order work queues in the electronic health record, coordinates and schedules referral activity, obtains accurate billing and demographic information, and ensures prior authorization under payer guidelines. The coordinator also processes referrals using CPT and ICD-9 coding, communicates delays or denials to the ProHealth team and employer, and participates in case management meetings. For Digestive Health, the position includes processing and scheduling Digestive Health procedures throughout the system, cross-training to assist with patient check-in and check-out, and rotating coverage of the in-person scheduling desk. Additional duties may be assigned based on department needs. Employees providing direct patient care must demonstrate competencies specific to the population served.

Requirements

High school diploma or GED and 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.
For ProHealth roles, Medical Assistant registry or certification, or an LPN license in Michigan, is required within 90 days of hire.

Responsibilities

Coordinate referral activity among patients, physicians, specialty offices, primary care offices, and insurance companies.
Manage electronic health record referral and order work queues according to office/provider preferences and patient needs.
Coordinate and schedule referral activity.
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.
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.
Maintain patient confidentiality and excellent customer service, including problem-solving payor issues.