Referral Coordinator / Patient Account Rep (Adult/Pediatric/Oncology) - Brighton Center for Specialty Care

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Summary

The Brighton Center for Specialty Care is the newest University of Michigan Ambulatory Care facility dedicated to providing high quality health care services for adults and children. The brand new 2-story facility is located at 7500 Challis in Brighton, MI. We are actively seeking compassionate, enthusiastic, and patient-focused individuals who will share in the goal of crafting the ideal experience for our patients, families and employees.

Why work for Michigan Medicine?

You will play an integral role within our institution, and are important to providing the highest quality service to patients and their loved ones. We are eager to assist you in becoming a well-rounded employee and individual, and to help you advance in your career. Don’t hesitate – join our team today, and help us provide remarkable assistance our patients in the Brighton area.

What Perks and Benefits can you look Forward to? 

• Excellent medical, dental and vision coverage
• 2:1 Match on retirement savings
• 75% Tuition Reimbursement
• Generous Paid Time Off (PTO) and Paid Holidays
• Management that provides quality training and direction

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 1850. Michigan Medicine is comprised of over 30,000 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*

This position will serve in the role of Referral Coordinator and Patient Account Representative.

In this role, you will provide exceptional patient centered service to patients, families and providers.  You will coordinate and facilitate between Physician and Insurance Companies regarding authorization and referrals for specialty care services. You will also be responsible for Billing, Invoices and Insurance Billing Clerical Work. Acting as a primary resource for providers, staff, patients and external insurances, you will be responsible for:

Referrals and Authorizations

• Processing referrals using established insurance company guidelines.
• Obtaining authorizations, precertification, prescriptions for therapies, and benefit verifications.
• Managing orders and referral work queues, and responding to patient referral issues in a timely manner.
• Facilitating appointment scheduling for primary and specialty services.
• Providing relevant insurance information and updates to staff, providers and managers (e.g. managed care changes, terminated contracts).
• Working closely with providers, clerical and clinical staff on referral processes to understand and proactively identify and resolve referral issues.
• Assisting in developing new process and procedures within the BCSC.
• Mentoring, orienting and supporting new staff and assisting with on-the-job training.
• Process cash collection and prepare deposits

Billing and Invoices

• Enter CPT codes into scheduling system as needed, to facilitate support for Patient Account Representatives.
• Work with physicians you will adhere to service scheduling procedures.
• Attend regular Revenue Cycle meetings and summarize information pertaining to our department/service.

Insurance Billing Clerical Work

• Handle daily work queues
• Track and log reversed charges.
• Obtain proper insurance address and documentation to insure correct charges.
• Serve as a representative of the designated service team, participate in/serve on various committees, workgroups as needed.
• Coordinate with other department schedulers to optimize use of services across Michigan Medicine.

Required Qualifications*

• High School Diploma or GED.
• 3 – 4 years of experience.
• Knowledge of basic medical terminology.
• Prior experience performing complex scheduling.
• Familiarity with obtaining medical records or professional medical billing.
• Financial counseling experience for healthcare patients.
• Exceptional interpersonal skills and ability to work well within a team setting.
• Communicates effectively.
• Demonstrates active listening, written, verbal and information technology skills.

Desired Qualifications*

• Experience working within a large, complex health care setting. 
• Familiarity with UMHS electronic medical record systems.
• Knowledge of University policies and procedures.

Work Schedule

This is a 40 hour per week position, working primarily 8:00 AM – 5:00 PM Monday through Friday.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.