Referral Coordinator

Job Description

Job Description

Description:

Are you organized, quick to spot missing details, and good at helping people get answers? Join our referrals team and help patients take the next step in their orthopaedic care.

WHAT SETS OAM + i’move APART

Our referrals team works with patients, referring offices, insurers, and schedulers to get patients to the right orthopaedic provider. The information you verify and the authorizations you secure help patients arrive prepared for their appointments.

OAM + i’move is committed to our employees' well-being, work-life balance, and career growth. Joining our team means working alongside fellowship-trained orthopaedic physicians who are leaders in their field. Everyone at OAM + i’move is committed to achieving service excellence through our standards of behavior; teamwork, courtesy, customer service, communication with mindfulness of etiquette, appearance/ environment, professionalism, confidentiality, and safety. We seek to reflect the diverse community we serve and be a welcoming, inclusive space for all.

We offer competitive pay, paid time off, and paid holidays. Eligible employees have access to four Priority Health medical plans with HSA and FSA options, Delta dental and vision coverage, and company-paid short- and long-term disability and life insurance. After one year, qualifying employees can join our 401(k) plan, which includes a 3% safe harbor contribution and a discretionary profit-sharing contribution.

ABOUT THE POSITION

The Referrals Coordinator is a full-time, on-site position at OAM in Muskegon, MI, reporting to the Operations Manager and Director of Operations. The typical schedule is Monday–Friday, 8:00 AM–5:00 PM. You’ll process a high volume of incoming referrals and make sure the information and authorizations needed for scheduling are in place.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Process referrals from HOLON, fax, and Assort Health. Review notes, imaging, and other records for completeness, and request missing information from referring offices.
• Confirm whether patients are new or established, verify demographics and insurance coverage, and enter accurate information in Athena.
• Coordinate with Patient Accounts to verify auto insurance and workers’ compensation information. Contact patients with outstanding balances to arrange payment plans before scheduling, as needed.
• Review upcoming appointments for required authorizations. Obtain and upload authorizations in the electronic medical record, and follow up promptly on pending requests.
• Route completed referrals to the appropriate scheduler, respond promptly to internal questions about referral status, and return patient calls within 24 hours.
• Protect patient confidentiality and provide courteous service when addressing patient questions or concerns.

• Skills & Competencies: Knowledge of medical terminology and insurance authorization processes; computer proficiency; strong organization, accuracy, customer service, communication, and problem-solving skills. Ability to prioritize a high volume of work, work independently, and collaborate with patients, staff, referring offices, and insurers.
• Education & Experience: High school diploma or higher required. Experience in a medical setting is preferred. We’re willing to train the right candidate.