Referral Specialist

Great Lakes Bay Health Centers • Saginaw, MI

32d • Hybrid

About The Position

This position is responsible for handling incoming departmental calls, processing insurance authorizations, communicating with patients regarding appointments and tests, tracking pended requests, and documenting all referral activities in the EHR. The role requires excellent customer service skills and the ability to work effectively in a team environment to meet departmental goals.

Requirements

• High school diploma.
• Minimum of three (3) years of experience in a medical setting.
• Excellent telephone etiquette.
• Clerical skills such as filing and completion of forms.
• Legible handwriting.
• Ability to operate office equipment including computer, fax machine, copy machine, etc.
• Ability to follow through with assignments in a timely manner.
• Must be able to use Microsoft Office and other applications as necessary.
• Ensures that patient confidentiality is maintained at all times.
• Able to communicate effectively with, and relate to, diverse populations.
• Must be able to define problems, collect data, establish facts, draw conclusions to resolve issues/problems that occur during the referral process.
• Ability to follow oral and/or written instructions.
• Able to work independently and/or as a team member.
• Must exhibit excellent customer service skills daily.
• Education in a healthcare related field required.

Nice To Haves

• Completion of a Medical Assistant program preferred.
• Registered MA or certification preferred.
• In lieu of medical training, five years or more experience considered.

Responsibilities

• Answer incoming departmental calls and route them appropriately.
• Process insurance company authorizations for referrals requiring prior authorization.
• Notify specialist offices or testing facilities of prior authorization approval or authorization numbers.
• Communicate all authorizations to applicable entities and share relevant documentation.
• Communicate with patients regarding scheduled appointments and/or tests.
• Follow established tracking guidelines for pended requests and prior authorization results.
• Document all referral/test order activity in the EHR, including appointment dates and times.
• Complete Transition of Care (TOC) activities and document TOC transmission with every referral.

Benefits

• Reimbursement for usage of personal vehicle as outlined under GLBHC’s policy or usage of a company vehicle as appropriate.

What This Job Offers

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