Bronson Healthcare ยท 1 month ago
Referral Coordinator - Financial Clearance/Central Auth - Sun-Thurs 1100-1930
Bronson Healthcare is a compassionate and resilient organization dedicated to providing excellent care to patients. The Referral Coordinator is responsible for managing the referral process, ensuring effective communication between patients, healthcare providers, and insurance companies.
Health CareHospitalMedicalNon ProfitPrimary and Urgent Care
Responsibilities
Coordinates all aspects of the referral process, including referral activity in the office between the patient, physician, specialty office, primary care office, and insurance company
Maintains patient confidentiality
Maintains excellent customer service, including problem-solving payor issues
Manages electronic health record referral/order work queues according to office/provider preference and the needs of patients
Coordinates and schedules referral activity
Obtains accurate billing and demographic information
Assures prior authorization for requested services under payer guidelines
Communicates delays/denials to ProHealth team and employer
Processes referrals by CPT, ICD-9 coding
Participates in case management meetings
Additional duties based on department
Qualification
Required
High school diploma or general education degree (GED)
1-2 years related experience and/or training
Knowledge of medical terminology, and CPT, ICD-9 coding
Excellent computer skills (i.e. Microsoft Office, Medic)
Excellent verbal and written communication skills
Ability to maintain positive customer service
Ability to establish effective working relations with office staff and employees in a team environment
Must maintain the highest level of confidentiality
Effective prioritization skills and ability to manage time independently
Maintain patient confidentiality
Maintain excellent customer service, including problem-solving payor issues
Manages electronic health record referral/order work queues according to office/provider preference and the needs of patients
Coordinates and schedules referral activity
Obtains accurate billing and demographic information
Assures prior authorization for requested services under payer guidelines
Communicates delays/denials to ProHealth team and employer
Process referrals by CPT, ICD-9 coding
Participates in case management meetings
Additional duties based on department
Preferred
Successful completion of a Medical Assistant or LPN program
Current Medical Assistant Registry or Certification, or LPN license (must be in good standing and valid in the state of Michigan)
Company
Bronson Healthcare
Bronson Healthcare is a not-for-profit, group healthcare organization that provides services ranging from primary care and emergency care.
Funding
Current Stage
Late StageRecent News
2025-10-27
2025-10-20
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