Medical Referral Specialist

4 weeks ago


Grand Haven, Michigan, United States Trinity Health Full time
Job Summary:

The Referral Coordinator plays a vital role in ensuring seamless patient care by maintaining, confirming, and coordinating referrals, authorizations, and pre-certifications. This position requires attention to detail, excellent communication skills, and the ability to work effectively in a fast-paced environment.

Key Responsibilities:

Maintain accurate and up-to-date referral information, ensuring timely completion of referrals and authorizations.
Verify patient demographics, insurance providers, and payers to ensure accurate referrals and authorizations.
Collaborate with healthcare teams to resolve referral and authorization issues, ensuring timely resolution and minimal disruption to patient care.
Develop and maintain knowledge of insurance carriers, prior authorization requirements, and billing and coding procedures.
Provide exceptional customer service, responding to patient and physician inquiries in a timely and professional manner.

Requirements:

High school diploma or equivalent required; medical secretary, medical receptionist, or medical assistant training preferred.
Two years of experience in a medical office setting, with a focus on referral management and coordination.
Strong knowledge of medical terminology, insurance carriers, and prior authorization requirements.
Excellent communication and organizational skills, with the ability to work effectively in a team environment.

Why Join Us:

Trinity Health is a leading healthcare system committed to delivering exceptional patient care and advancing the health of our communities. As a Referral Coordinator, you will be part of a dynamic team dedicated to making a positive impact on the lives of our patients and their families. We offer a comprehensive benefits package, opportunities for professional growth and development, and a supportive work environment that values diversity, equity, and inclusion.

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