Referral Coordination Specialist
1 week ago
Mission Statement
The University of Michigan is dedicated to enhancing the health of individuals, communities, and populations through outstanding education, patient care, community service, research, and technological innovation. Our mission is driven by our Strategic Principles, focusing on three essential components: patient care, education, and research, which collectively strengthen our contribution to society.
Why Work at the University of Michigan?
As one of the largest healthcare institutions globally, the University of Michigan has been a pioneer in numerous medical and technological breakthroughs. Our organization comprises a diverse workforce, and we aim to attract, inspire, and cultivate exceptional talent in medicine, science, and healthcare, establishing ourselves as a leading academic health system. Every individual contributes, in their own way, to the advancement of this prestigious institution. Join us and be a champion for the greater good.
Anticipated Benefits
Comprehensive medical, dental, and vision plans available from day one Generous retirement savings plan with a 2:1 matchKey Responsibilities
Charge Reconciliation: Oversee and reconcile daily clinic charges, ensuring completion, timeliness, and accuracy. Front-End Systems Knowledge: Demonstrate proficiency in front-end systems (e.g., MiChart, Clinic Charge Capture) and processes (Check-in, Check-out), including ICD-10 coding. Expertise Provision: Serve as the primary resource for healthcare providers, staff, patients, and external insurance entities. Understand managed care principles and the referral approval process, providing education and training as needed. Referral Management: Process referrals in accordance with established insurance guidelines, securing authorizations, pre-certifications, and benefit verifications as necessary. Customer Service Excellence: Address patient inquiries and resolve referral issues promptly; assist with patient education regarding managed care plan requirements. Scheduling Facilitation: Coordinate the scheduling of specialty services and appointments as required. Benefit Verification: Confirm insurance coverage and document benefits and authorization prerequisites. Billing Oversight: Manage billing work queues to correct errors and ensure accurate billing practices.Required Qualifications
High School Diploma or GED. Minimum of 3 years of experience in a public-facing role. Familiarity with medical records retrieval or professional medical billing. Proven ability to engage with a diverse population. Strong organizational and prioritization capabilities. Consistent record of excellent attendance. Professional demeanor when interacting with patients, faculty, and staff. Ability to manage multiple tasks in a fast-paced environment with precision. Proven capacity to work effectively under pressure and meet deadlines. Strong problem-solving abilities. Excellent customer service skills. General office experience is required. Exceptional interpersonal skills and teamwork capabilities. Effective verbal and written communication skills. Perform additional related duties as assigned.Desired Qualifications
Experience with EPIC/MiChart. Background in a large, complex healthcare environment. Understanding of medical documentation and familiarity with medical terminology. Knowledge of university policies and procedures.Work Schedule
Standard hours are 8:00 AM to 4:30 PM, Monday through Friday; options for remote or hybrid work may be available.
Work Modes
Eligibility for hybrid or remote work arrangements is determined by the hiring department. Work agreements are reviewed annually and may change at any time during employment.
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