Referral Coordinator

Michigan Institute of Urology; Grand Rapids (MI); Sur place; USD 38 000 - 62 000; Plein temps

Résumé du poste

Michigan Institute of Urology is seeking a Referral Coordinator to serve as the primary contact for patients and providers. The role involves handling referrals, verifying insurance, scheduling appointments, and providing patient information with a high level of service.

Responsibilities include maintaining accurate patient charts, processing authorizations, and ensuring HIPAA compliance. A high school diploma and medical office experience are preferred, with knowledge of insurance and urology

Qualifications

• High school diploma or equivalent required.
• 1 year of experience in a medical office preferred.
• Knowledge of insurance and urology experience preferred.
• Strong patient service orientation and HIPAA compliance required.

Responsabilités

• Manage new and existing patient referrals.
• Verify insurance type and required authorizations.
• Contact referring physicians to obtain referrals.
• Obtain any additional documents as needed.
• Record referrals in the computer and ensure new patient charts are complete.
• Update co-payments in the system.
• Mail new patient packets and assist with front desk duties.
• Adhere to HIPAA and organizational policies.

Connaissances

Medical terminology

Phone etiquette

Clear communication

Microsoft Office

EMR knowledge

HIPAA compliance

Patient service

Formation

High School Diploma or equivalent

Outils

EMR software

Description du poste

GENERAL SUMMARY

The Referral Coordinator serves as the primary contact/resource person for patients, primary care physicians and other healthcare service providers. The Referral Coordinator is responsible for answering and appropriately managing incoming telephone calls, verification of benefits and services, scheduling patient appointments, and responding to patient information needs.

Job Type

Full-time

Description

The Referral Coordinator serves as the primary contact/resource person for patients, primary care physicians and other healthcare service providers. The Referral Coordinator is responsible for answering and appropriately managing incoming telephone calls, verification of benefits and services, scheduling patient appointments, and responding to patient information needs.

Requirements

ESSENTIAL JOB FUNCTION/COMPETENCIES

• Works on new patient and existing patient referrals.
• Verifies the type of insurance and proper authorization as needed.
• Contacts the referring physician to obtain the referral form.
• Obtains any added documents as needed.
• Records referrals in computer.
• Ensures that new patient charts are complete.
• Updates co-payments in the computer.
• Mails new patient packets.
• Assists with all front office related duties as needed.
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

Certifications, Licensures Or Registry Requirements

• N/A

KNOWLEDGE | SKILLS | ABILITIES

• Knowledge of medical terminology.
• Delivers exceptional patient service throughout all interactions.
• Phone etiquette skills.
• Must be able to communicate clearly in person and over the telephone.
• Ability to follow up on all communications.
• Skill in using computer programs and applications including Microsoft Office.
• Knowledge in healthcare systems operations such as EMR.
• Complies with HIPAA regulations for patient confidentiality.

Education Requirements

• High School Diploma or equivalent required.

Experience Requirements

• 1 year of experience working in a medical office preferred.
• Knowledge of insurance is preferred.
• Urology experience preferred.

Required Travel

• N/A

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%