Referral Specialist

Referral Specialist

Western Michigan University Homer Stryker M.D. School of Medicine is seeking a Referral Specialist. The referral specialist is responsible for assembling information concerning patient's clinical background and referral needs. Provides appropriate clinical information to referring providers, specialists, or health care facilities.

WMed has opportunities for Referral Specialist I Healthcare setting and customer service preferred. $15.55 $18.15 / hour dependent upon years of equivalent and relevant experience.

Referral Specialist II must have 1-2 years health care, customer service and call center. $17.10 $19.95 / hour dependent upon years of experience.

Referral Specialist III must have 3+ years health care, customer service, call center and, insurance verification and billing experience. $19.25 - $22.45 / hr dependent upon years of experience.

Responsibilities

Verifying insurance in the EMR and / or appropriate websites.

Pre-registration for upcoming appointments.

Manages all assigned work-ques and in-basket request.

Answers and directs department phone calls.

Schedules and reschedules referral appointments.

Enters patient demographic, referral, and insurance information into the EMR.

Verifies eligibility of managed care patients.

Checks and updates referral information.

Sorts and distributes department mail.

Provides information to patients regarding billing processes and procedures.

Ensures patients are notified for upcoming appointments by communicating through their My Chart, email or via US mail.

Ensuring all necessary new patient paperwork and health history questionnaires are mailed to all New Patients to WMed Health Providers / Specialists.

Manages patient portal requests.

Monitors office supplies and reorders items as needed.

Participates in all departmental meeting and in service trainings.

Availability to work occasional overtime on weekends or evenings to complete time sensitive projects.

Acquires knowledge for new technology and policy / procedure revisions.

All other duties as assigned.

Qualifications

EDUCATION AND / OR EXPERIENCE :

High school diploma or GED required.

Knowledge and proficiency in grammar and spelling skills preferred.

Healthcare setting experience preferred.

Customer service experience preferred.

Ability to type 40 words per minute with minimal errors required.

Knowledge and proficiency of EMR (Epic), Medifax, Access, WebDenis system, CHAMPS, and internet as required by department a plus.

OTHER SKILLS AND ABILITIES :

Knowledge of basic word processing and file management using Microsoft Office.

Knowledge of basic medical terminology a plus.

Ability to operate automated standard office equipment such as multi-line phone system, copier, fax machine, shredder, etc.

Strive to work independently.

Bilingual a plus.

Make decisions based on established procedures.

Strives to learn more and is receptive to new challenges and opportunities.

No attendance / tardiness issues or concerns.

Participates in professional development classes.

Ability to interpret, comprehend, and transmit complicated and detailed instructions.