Patient Services Intermediate-Referral Coordinator
4 weeks ago
Mission Statement
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.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in . Michigan Medicine is comprised of over 30, employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Excellent medical, dental and vision coverage effective on your very first day 2:1 Match on retirement savings
Responsibilities*
Charge Reconciliation: Monitors and reconciles daily clinic charges, assessing for completion, timeliness, and accuracy Front End System/Processes: Demonstrates knowledge of front-end systems (MiChart, Clinic Charge Capture, Online Payor Systems, Web Denis etc.) and front-end processes (Check-in, Check-out) including ICD-10 and coding. Expertise: Acts as the primary resource for providers, staff, patients, and external insurances. Understands managed care concepts and the referral approval process. Provides education and training sessions as appropriate. Referral Management: Processes referrals using established insurance company guidelines. Obtains authorizations, pre-certifications, prescriptions for therapies, and benefit verifications as required. Customer Service: Responds to patient inquiries and manages referral problems in a timely manner; assists with patient education as related to special requirements of managed care plans. Facilitation: Facilitates scheduling of specialty services and schedules appointments as necessary. Benefit Checking: Verifies insurance coverage, collecting, and documenting insurance benefits and authorization requirements. Billing Work Queues: Manages billing work queues to rectify errors and ensure appropriate billing.
Required Qualifications*
High School Diploma or GED. A minimum of 3 years of previous work experience working with the public. Familiarity with obtaining medical records or professional medical billing. Demonstrated ability to interact with a diverse population. Strong organizational and prioritization skills. Demonstrated record of excellent attendance. Exhibits professional and positive image when interacting with patients, faculty, and staff. Able to handle multiple responsibilities in a fast-paced environment with accuracy. Demonstrated ability to work well under pressure and meet deadlines. Demonstrated strong problem-solving skills. Demonstrated excellent customer service skills with the public. General office practice experience is required. Exceptional interpersonal skills and the ability to work well within a team. Ability to communicate effectively, both verbal and written. Perform other related duties as assigned.
Desired Qualifications*
EPIC/MiChart experience. Experience working within a large, complex health care setting. Ability to understand medical documentation and general knowledge of medical terminology. Knowledge of university policies & procedures.
Work Schedule
8:00 - 4:30 (Monday-Friday); Remote/Hybrid schedule optional
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the
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