Referral Specialist-Lakeview, MI

Sheridan Community Hospital; Cato Township (MI); On-site; USD 42,000 - 60,000; Full time

Job summary

Sheridan Community Hospital’s Lakeview Health Partners in Lakeview, Michigan, is seeking a motivated Referral Specialist to join the new Rural Health Clinic. You will coordinate referrals, obtain authorizations, schedule outside provider visits, and ensure timely access to care while delivering compassionate service.

Prospective candidates should have 1–3 years in a medical clinic, EMR experience, knowledge of ICD-10, and strong organizational and communication skills.

Qualifications

• High school diploma required.
• CMA or RMA training preferred.
• 1–3 years' experience in a medical clinic setting.
• Experience with electronic medical records (EMR).
• Knowledge of ICD-10 coding preferred.
• Proficiency in Word and Excel.
• Excellent verbal and written communication.
• HIPAA compliance awareness.

Responsibilities

• Coordinate and process patient referrals to specialists, diagnostic services, and outside facilities.
• Obtain insurance authorizations for referrals, procedures, and testing.
• Schedule appointments with outside providers and relay instructions to patients.
• Process referrals within 3 to 5 business days after documentation is received.
• Maintain referral tracking logs and monitor outstanding referrals.
• Enter and update referral information in the EMR.
• Communicate with patients, providers, insurers, and facilities.
• Respond to patient inquiries and referral status inquiries.
• Maintain an updated list of approved specialists and facilities.
• Identify and resolve referral-related issues with providers and staff.
• Ensure confidentiality and HIPAA compliance; participate in quality improvements.

Skills

Referral coordination

Organizational skills

Customer service

HIPAA compliance

Communication skills

Problem solving

Education

CMA or RMA certification

High school diploma

Tools

EMR systems

Microsoft Word

Microsoft Excel

Job description

Referral SpecialistLakeview Health PartnersLakeview, MichiganSheridan Community HospitalBe Part of Something New!Sheridan Community Hospital is excited to announce the opening of Lakeview Health Partners, our new Rural Health Clinic in Lakeview, Michigan. We are seeking a motivated, organized, and patient-focused Referral Specialist to join our growing healthcare team.This is an exciting opportunity to be part of a new clinic, helping establish efficient patient care processes, and make a meaningful difference in the Lakeview community.Position OverviewThe Referral Specialist plays an essential role in coordinating patient referrals, obtaining necessary authorizations, and ensuring patients receive timely access to specialty care and diagnostic services.Working closely with providers, patients, and outside healthcare facilities, this position requires strong organizational skills, attention to detail, and a commitment to delivering exceptional customer service.Key ResponsibilitiesCoordinate and process patient referrals to specialists, diagnostic services, and outside healthcare facilities.Ensure all referral forms, medical records, and supporting documentation are accurate, complete, and submitted in a timely manner.Obtain insurance authorizations for referrals, procedures, and diagnostic testing as required.Schedule appointments with outside providers and communicate appointment information and instructions to patients.Process referrals within 3 to 5 business days once all required documentation is received.Maintain accurate referral tracking logs and monitor outstanding referrals through completion.Enter and update referral information in the electronic medical record.Communicate effectively with patients, providers, insurance companies, and outside healthcare facilities.Respond promptly to patient inquiries, telephone calls, and voicemail messages regarding referral status.Maintain an updated list of approved specialists, providers, and healthcare facilities.Identify and resolve referral-related issues in collaboration with providers and clinical staff.Maintain patient confidentiality and ensure compliance with HIPAA regulations.Participate in quality improvement initiatives and support the overall efficiency of clinic operations.Assist with additional clinical support responsibilities as assigned and appropriate to qualifications.Why Join Lakeview Health Partners?At Sheridan Community Hospital, we believe exceptional healthcare begins with exceptional people. As a member of Lakeview Health Partners, you will have the opportunity to help establish a new healthcare clinic while making a lasting impact on the community.Help Build Something NewBecome an important part of launching Lakeview Health Partners and developing efficient processes that support exceptional patient care.Make a Difference in Your CommunityHelp patients navigate the referral process and connect them with the specialty care and services they need.Collaborative and Supportive EnvironmentWork alongside a dedicated healthcare team committed to teamwork, professionalism, and quality patient care.Professional GrowthBe part of a growing healthcare organization that values continuous improvement, professional development, and employee contributions.Join Our Team!If you are a detail-oriented, compassionate professional who enjoys coordinating patient care, solving problems, and helping others, we encourage you to apply.Help us build something exceptional at Lakeview Health Partners.Be part of our growth. Be part of our community. Be part of Lakeview Health Partners.High school diploma required.Completion of an accredited Certified Medical Assistant or Registered Medical Assistant training program preferred.One to three years of experience in a medical clinic setting.Experience working with electronic medical records required.Knowledge of medical terminology and healthcare referral processes.Experience with ICD-10 coding preferred.Proficiency in Microsoft Word and Excel.Strong organizational skills with the ability to prioritize multiple responsibilities and meet daily deadlines.Excellent verbal and written communication skills.Professional telephone etiquette and exceptional customer service skills.Ability to work independently while maintaining effective collaboration with providers and team members.Strong attention to detail and commitment to maintaining accurate documentation and patient confidentiality.