Obtaining referrals, authorizations, pre-certifications and benefit level verification from third parties for radiology services.
The Referral Coordinator is responsible for obtaining, processing and tracking insurance referrals and authorizations for outpatient procedures rendered in the Department of Radiology.
The staff person is responsible for maintaining a large scope of knowledge regarding insurance plans and requirements in an ever-changing environment.
Ability to be successful prioritizing workload in a high volume area.
Ability to respond to patient and customer's questions comprehensively and in a timely manner.
Work from MiChart schedules and work queues to identify services that need approval.
Serve as a resource for staff and physicians and act as a liaison between the physicians, collection specialists, and patients in the referral process. This includes field and respond to patient inquiries regarding their authorization and/or referral.
Excellent customer service and communication skills with the ability to work with third party insurance carriers on a regular basis.
Ability to manage stress effectively.
Strong organizational skills and time management skills. Attention to detail and the ability to prioritize and manage multiple responsibilities in a very busy clinical setting.
Work independently, and the ability to prioritize workload.
Reasonable experience in a hospital business office, private practice, insurance office or related setting is necessary.
Ability to maintain confidentiality and HIPAA compliance.
Proven experience multitasking.
Associate degree or equivalent work experience.
Working knowledge of MiChart (Epic).
Understanding of medical terminology.
Current knowledge of third party payor rules and authorization process.
40 hours, day shift
This position is located at the KMS Building.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.