Referral Coordinator

Bronson Healthcare•Battle Creek, NE

12d•Onsite

About The Position

The Referral Coordinator coordinates all aspects of the referral process among patients, physicians, specialty offices, primary care offices, and insurance companies. Employees providing direct patient care must demonstrate competencies specific to the population served. For Digestive Health, the role also 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.

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 and 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 positions, Medical Assistant registry or certification, or an LPN license in Michigan, is required within 90 days of hire.

Responsibilities

Coordinate and schedule referral activity.
Manage electronic health record referral and order work queues according to office or provider preferences and patient needs.
Obtain accurate billing and demographic information.
Ensure prior authorization for requested services in accordance with 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.
Maintain patient confidentiality and provide excellent customer service, including resolving payer issues.
For Digestive Health: process and schedule procedures throughout the system, assist with patient check-in and check-out, and rotate coverage of the in-person scheduling desk.
Perform additional duties based on department needs.