Referral and Authorization Coordinator

Michigan Medicine
Ann Arbor, MI / Remote
30+ days ago
Michigan Medicine
Michigan Medicine
uofmhealth.org

Job Description

How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Job Summary

The incumbent will coordinate and facilitate communications between patients, referring physicians, payers, clinic personnel, and revenue cycle staff regarding authorizations for services provided primarily at the Otolaryngology Briarwood Hearing Rehab Center Clinic. As a member of a centralized Referral and Authorization Coordinator Team, this role may provide coverage for other Otolaryngology clinics across Michigan Medicine. The referral and authorization coordinator is to act as a resource for Otolaryngology staff in the areas of referral and authorization management, insurance types and requirements, and charge entry/review.
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.
Responsibilities*

The Referral and Authorization Coordinator is responsible for obtaining, processing, and tracking insurance referrals and authorizations for all outpatients primarily at the Briarwood Hearing Rehab Center Clinic and as well as C.S. Mott Hospital Pediatric Otolaryngology Clinic, Taubman Center Otolaryngology Clinic, and Livonia Center for Specialty Care using payer websites, health system resources, and the MiChart (Epic) electronic system. Outpatient services in these locations include those provided by audiologists, speech language pathologists, occupational therapists and Otolaryngology physician and advanced practice professionals.
The Referral and Authorization Coordinator is also responsible for obtaining, processing, and tracking insurance referrals and authorizations for Otolaryngology operating room cases and cochlear implant devices. This individual functions as a part of a six-member team that maintains a large scope of knowledge regarding insurance plans and requirements in an ever-changing environment across a wide variety of services. The coordinator must attend the monthly Revenue Cycle Forum Meeting and summarize content for presentation to clinic and surgery schedulers as well as fellow referral coordinators.
The Referral and Authorization Coordinator must respond to patient/family questions comprehensively and in a timely manner, adhering to strong service excellence standards.
Active participation in monthly billing meetings is a key part of this role, as is working closely with schedulers, clinicians, and clinic staff to address work-flow challenges.
Required Qualifications*
High School Diploma or GED 3 years of relevant work experience. Knowledge of medical records and medical terminology. Knowledge of Otolaryngology terminology is helpful. Past record of excellent attendance. Ability to exhibit a professional and positive image when interacting with patients, faculty and staff. Must have strong organizational and time management skills as well as attention to detail and the ability to prioritize and manage multiple responsibilities in a very busy, complex clinical setting. Strong written, verbal and non-verbal communication and information technology skills. Ability to problem-solve independently when new challenges arise. Remain flexible and adapt to new requirements, processes, and procedures as required. Prior experience in a healthcare setting. Exceptional interpersonal skills and ability to work well within a team setting.
Desired Qualifications*

Bachelor's Degree
Experience and expertise in using Epic/MiChart.
Familiarity with obtaining medical records or professional medical billing.

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.

U-M COVID-19 Vaccination Policy
COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine, by the start of the fall term on August 30, 2021. This includes those working or learning remotely. More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.

Source

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