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?
- 75% Tuition Reimbursement
- Generous Paid Time Off (PTO) and Paid Holidays
- Management that provides quality training and direction
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.
- 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.
- Experience working within a large, complex health care setting.
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