Referral Operations Specialist: Healthcare Coordination

Mclaren-Health-Care; Clarkston (MI); On-site; USD 40,000 - 65,000; Full time

Job summary

McLaren Health Care, headquartered in Grand Blanc, Michigan, seeks a Referral Specialist for Clarkston Medical Group to manage referral operations and standardize workflows across the organization.

You will verify demographics and insurance data, obtain prior authorizations when needed, and ensure appropriate clinical information is sent to referred specialists, leveraging EMR functionality and collaborating with care teams.

Qualifications

• High School Diploma or GED required.
• 2+ years' experience handling referrals in a licensed medical facility.
• Exceptional organizational skills and attention to detail.
• Proficient with medical terminology and MS Office.
• Experience with ICD-10-CM coding is preferred.

Responsibilities

• Ensure current and standardized referral policies and workflows.
• Prioritize referrals by urgency and address them promptly.
• Train referral personnel and coordinate with other departments.

Skills

Interpersonal skills

Organizational skills

Attention to detail

Education

High School Diploma or GED

Tools

MS Office

EMR systems

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, seeks a Referral Specialist for Clarkston Medical Group to manage referral operations and standardize workflows across the organization.

You will verify demographics and insurance data, obtain prior authorizations when needed, and ensure appropriate clinical information is sent to referred specialists, leveraging EMR functionality and collaborating with care teams.