Be Remarkable! Work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.
Position Summary:
The Referral Coordinator maintains, confirms, coordinates and/or secures referrals, authorizations, and pre-certifications for referrals and diagnostic testing, verifies the accuracy and completeness demographics, insurance providers and payers on outgoing and incoming referrals, and follows standard workflow for referral management.
What you will do:
- Properly maintains and tracks referrals from beginning to end.
- Answers, responds to and documents phone calls, requests and questions from patients, physicians, ancillary services or specialty offices in a timely manner.
- Assembles information concerning patient’s clinical background and referral needs.
- Obtains necessary authorization for referrals and diagnostic testing in timely fashion with proper documentation.
- Works denied claims for missing prior authorization or referral within the EMR system.
- Confirms payer is in-network with specialist. If not, contact patient to discuss and make alternate arrangements as necessary per payer guidelines in communication with the care team.
- Maintains and updates reference materials as they pertain to insurance carriers.
- Other duties as assigned.
What you need:
- Degree, Education and/or training as medical secretary, medical receptionist, medical assistant preferred.
- High school graduate/ GED required.
- Two years’ experience required in a medical office.
- Extensive knowledge of the insurance market & prior authorization requirements.
- Billing and coding knowledge and experience preferred.
- Medical terminology and knowledge of medical office procedures preferred.
Highlights:
- Day Shift Monday – Friday. No weekends or Holidays.
- Comprehensive benefit packages available including medical, dental, vision, paid time off and 403B
- We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Skills Required
- Two years' experience in a medical office
- High school graduate/GED
- Degree or training as medical secretary, medical receptionist, medical assistant
- Extensive knowledge of insurance market and prior authorization requirements
- Billing and coding knowledge
- Medical terminology knowledge
What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.
