Referral Specialist

University of Michigan Health-West; Wyoming (MI); Presencial; USD 38.000 - 56.000; Jornada completa

Descripción de la vacante

University of Michigan Health-West seeks a Referral Specialist to coordinate referrals ordered by providers, schedule appointments, verify third-party information for authorizations, and track referrals. You will work closely with physicians and the care team to ensure timely access to services.

This full-time day-shift role requires a high school education, knowledge of medical terminology, and the ability to work independently with strong documentation and communication skills to maintain

Formación

• High School education or equivalent.
• One year of experience in a medical office coordinating referrals.
• Knowledge of medical terminology.
• Ability to work independently and with minimal supervision.
• Knowledge of medical record content and sequence.
• Training or experience in medical coding and managed care plans.

Responsabilidades

• Schedules and coordinates specialist appointments, procedures and tests done internally or externally.
• Monitors EMR orders to ensure providers enter information correctly.
• Validates insurance coverage and processes insurance authorizations.
• Assembles information concerning patient’s clinical background and referral needs.
• Enters and tracks all referral requests in the EMR or other information system as required
• Responds and documents requests from providers and patients in a timely manner.
• Participates in process improvement activities to enhance referral process and workflow.
• Performs other duties as assigned, including maintaining knowledge of department processes and participating in committees.

Conocimientos

Medical terminology

Independent work

Interpersonal skills

Verbal and written communication

Customer service

Appointment scheduling

Medical record knowledge

Medical coding knowledge

Educación

High School diploma or equivalent

Herramientas

EMR systems

Descripción del empleo

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

Shift: Days

General Summary:

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.

Requirements:

• High School education or equivalent
• One year of experience in a medical office and/or prior experience coordinating referrals
• Knowledge of medical terminology
• Able 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 appointment scheduling process
• High level of interpersonal skills
• Communicate effectively, both verbal and written
• Able to prioritize, maintain accurate records, and work under deadline
• Excellent customer service skills

Essential Functions and Responsibilities:

1. Schedules and coordinates specialist appointments, procedures and tests done internally or externally.
2. Monitors EMR orders to ensure providers enter information correctly.
3. Validates insurance coverage and processes insurance authorizations.
4. Assembles information concerning patient’s clinical background and referral needs.
5. Enters and tracks all referral requests in the EMR or other information system as required
6. Responds and documents requests from providers and patients in a timely manner.
7. Participates in process improvement activities to enhance referral process and workflow.
8. Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures for patient care, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.

Requisition #: req12800

FTE status: 1

On-call: No

Weekends: No