Referral Specialist - Community Clinic Days - 40hrs/wk.

University of Michigan Health-West•Wyoming, MI

10d

About The Position

Under the direction of management, the Referral Specialist coordinates internal and external referrals ordered by providers. This includes completing referrals, scheduling appointments, acquiring and verifying third-party information for authorizations, and tracking referrals. The Referral Specialist works closely with physicians and other members of the care team. The position is day shift, 40 hours per week, with no on-call duties or weekend work.

Requirements

High school education or equivalent.
One year of experience in a medical office and/or prior experience coordinating referrals.
Knowledge of medical terminology.
Ability to work independently and collaboratively with minimal supervision.
Knowledge of medical record content and sequence.
Training or experience in medical coding and managed care insurance plans.
Knowledge of the appointment scheduling process.
High level of interpersonal skills.
Effective verbal and written communication skills.
Ability to prioritize, maintain accurate records, and work under deadlines.
Excellent customer service skills.

Responsibilities

Schedule and coordinate specialist appointments, procedures, and tests performed internally or externally.
Monitor EMR orders to ensure providers enter information correctly.
Validate insurance coverage and process insurance authorizations.
Assemble information about patients’ clinical backgrounds and referral needs.
Enter and track referral requests in the EMR or other required information system.
Respond to and document requests from providers and patients in a timely manner.
Participate in process improvement activities to enhance referral processes and workflow.
Maintain current knowledge of department processes, protocols, and procedures for patient care.
Pursue self-directed learning and continuing education opportunities.
Participate in committees, task forces, and work groups as determined by management.
Perform other duties as assigned.