Referral Coordinator - Full Time, 40 hours per week - Bronson Orthopedics - Kalamazoo

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CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BMH Bronson Methodist Hospital Title Referral Coordinator - Full Time, 40 hours per week - Bronson Orthopedics - Kalamazoo The Referral Coordinator coordinates all aspects of the referral process, including referral activity in the office between the patient, physician, specialty office, primary care office, and insurance company. Employees providing direct patient care must demonstrate competencies specific to the population served. High school diploma or general education degree (GED) and 1-2 years related experience and/or training required Successful completion of a Medical Assistant or LPN program preferred Current Medical Assistant Registry or Certification, or LPN license preferred (must be in good standing and valid in the state of Michigan). Requirements For Financial Clearance ONLY - High school diploma or general education degree (GED) and 1-2 years related experience and/or training required For ProHealth ONLY - Medical Assistant Registry or Certification, or LPN license in the state of Michigan required within 90 days of hire . - Knowledge of medical terminology, and CPT, ICD-9 coding - Must have excellent computer skills (i.e. Microsoft Office, Medic). - Must have excellent verbal and written communication skills. - Ability to maintain positive customer service. - Ability to establish effective working relations with office staff and employees in a team environment. - Must maintain the highest level of confidentiality. - Effective prioritization skills and ability to manage time independently. Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. - Maintain patient confidentiality. - Maintain excellent customer service, including problem-solving payor issues. - Manages electronic health record referral/order work queues according to office/provider preference and the needs of patients. - Coordinates and schedules referral activity. - Obtains accurate billing and demographic information. - Assures prior authorization for requested services under payer guidelines. - Communicates delays/denials to ProHealth team and employer. - Process referrals by CPT, ICD-9 coding. - Participates in case management meetings. - Additional duties based on department Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 8138 Bronson Hand And Elbow Surgery Specialist (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!