Healthcare Referral & Authorization Navigator

Paycom - ATS; Flint (MI); On-site; USD 35,000 - 55,000; Full time

Job summary

Paycom - ATS in Genesee County, Flint, MI is seeking a Referral Coordinator to manage scheduling of complex procedures and referrals, including Medicaid-related pre-certifications. The role emphasizes timely processing, EMR tracking, and collaboration with providers across sites.

The ideal candidate has a High School Diploma with clinical training, Medicaid knowledge, strong confidentiality, and excellent customer service. On-site, day shift, with travel as needed.

Qualifications

• High School Diploma with advanced coursework in clinical training.
• Proven knowledge of Medicaid and managed care insurance programs.

Responsibilities

• Schedule referrals and tests/procedures as ordered by providers.
• Ensure referrals are prepared and processed within 24 hours of receipt.
• Research patient insurance plans to route referrals to proper providers.
• Obtain authorizations/pre-certifications from payors as required.
• Transmit authorizations and records to providers and payors as needed.

Skills

Confidentiality

Customer service

Telephone skills

Computer skills

Public interaction

Attendance/punctuality

Conflict resolution

Professional appearance

Travel flexibility

Education

High School Diploma

Advanced clinical training coursework

Tools

EMR systems

Job description

Paycom - ATS in Genesee County, Flint, MI is seeking a Referral Coordinator to manage scheduling of complex procedures and referrals, including Medicaid-related pre-certifications. The role emphasizes timely processing, EMR tracking, and collaboration with providers across sites.

The ideal candidate has a High School Diploma with clinical training, Medicaid knowledge, strong confidentiality, and excellent customer service. On-site, day shift, with travel as needed.