Referral Specialist jobs in Battle Creek, MI

Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations. Additionally, Referral Specialist resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. May require an associate degree. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Referral Specialist
  • WMU Homer Stryker, M.D. School of Medicine
  • Kalamazoo, MI OTHER
  • Overview

    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.

    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

    • 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.

    • 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.• Ability to interpret, comprehend, and transmit complicated and detailed instructions accurately.• Demonstrates the ability to recognize priorities in organization of work flow.• 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.

     

    About Western Michigan University Homer Stryker M.D. School of Medicine (WMed)

     

    We are committed to excellence and health equity through transformative medical education, high-quality, patient- and family-entered care, innovative research, and community partnerships within a just culture of diversity, equity, inclusion, and belonging. Our vision is health equity for all in Southwest Michigan through innovation in the practice and study of medicine.

     

    The medical school is a collaboration of Western Michigan University and Kalamazoo's two teaching health systems, Ascension Borgess and Bronson Healthcare. The medical school is a private nonprofit corporation supported by private gifts, clinical revenues, research activities, tuition, and endowment income. Building upon a $100 million foundational gift in 2011, WMed is a recipient of the Empowering Futures Gift, a philanthropic commitment of $300 million to support the mission of the medical school. WMed contributes to the economic vitality of Southwest Michigan through the services we provide as well as the creation of 1,600 new jobs and an annual estimated economic impact of $353 million in Kalamazoo and Calhoun counties.

     

    WMed is fully accredited by the Liaison Committee on Medical Education and the Higher Learning Commission. The medical school offers a comprehensive, innovative four-year Doctor of Medicine degree program and two Master of Science degree programs in Biomedical Sciences and Medical Engineering. We train physicians in 10 residencies and five fellowships accredited by the Accreditation Council for Graduate Medical Education. To support our educational mission, we have Joint Accreditation for interprofessional continuing education, which incorporates accreditation by the Accreditation Council for Continuing Medical Education.

     

    WMed Health is the clinical practice of the medical school with more than 300 providers offering comprehensive primary care and specialty services in several locations throughout Kalamazoo, Portage, and Battle Creek. The Department of Pathology faculty serve as the Office of the Medical Examiner for counties throughout Michigan and northern Indiana.

     

    The W.E. Upjohn M.D. Campus located in downtown Kalamazoo serves as the primary educational facility with faculty and administrative offices, student study and social spaces, team-based learning halls, a state-of-the-art Simulation Center accredited by the Society for Simulation in Healthcare, basic science research labs, as well as toxicology and forensic pathology labs.

     

    WMed is building upon Kalamazoo’s century-long foundation of drug discovery and medical device development with a strategic investment in clinical, laboratory, community, and educational research. The Center for Immunobiology, Center for Clinical Research, Research Histology Lab, Innovation Center, and Human Research Protection Program contribute to the medical school’s advancement of knowledge through innovation and discovery. 

     

    Western Michigan University Homer Stryker M.D. School of Medicine is an Equal Employment Opportunity/Affirmative Action employer of females, minorities, individuals with disabilities, and protected veterans, and actively strives to increase diversity within its community. We provide a drug- and tobacco-free workplace. 

     

    EEO Minorities/Women/Disabled/Protected Veterans.

  • 2 Months Ago

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Referral Coordinator
  • Senior Care Partners PACE
  • Battle Creek, MI FULL_TIME
  • Referral Coordinator Who is P.A.C.E? The Program of All-Inclusive Care for the Elderly (PACE) offers a variety of services, with many of them provided onsite at a PACE Center. PACE is an alternative t...
  • 14 Days Ago

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Referral Coordinator II
  • Senior Care Partners PACE
  • Battle Creek, MI FULL_TIME
  • REFERRAL COORDINATOR II Who is P.A.C.E? The Program of All-Inclusive Care for the Elderly (PACE) offers a variety of services, with many of them provided onsite at a PACE Center. PACE is an alternativ...
  • 1 Day Ago

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Specialist
  • MyKelly
  • Kalamazoo, MI FULL_TIME
  • At Kelly®, we’re passionate about helping you find a job that works for you. How about this one? We’re seeking a Planetarium Specialist - Part Time to work at Kalamazoo Valley Community College in Kal...
  • 1 Month Ago

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Marketing Specialist
  • TecNiq Inc.
  • Galesburg, MI FULL_TIME
  • TecNiq Inc., founded in 2004, designs and manufactures high quality, energy-efficient LED lighting products for fleet vehicles, construction trailers, emergency response vehicles, boats, recreational ...
  • 18 Days Ago

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Inventory Specialist
  • Knipper HEALTH
  • Portage, MI OTHER
  • Overview THIS IS A PART-TIME/CASUAL OPPORTUNITY. THE NUMBER OF HOURS PER WEEK WILL VARY. POSITION SUMMARY: This position is responsible for performing audits of client inventories, storage site inspec...
  • 19 Days Ago

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0 Referral Specialist jobs found in Battle Creek, MI area

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Collection Specialist
  • RNR Tire Express
  • Battle Creek, MI
  • Job description The Assistant Collection position is a full-time opportunity offering a family atmosphere, great pay ($3...
  • 3/28/2024 12:00:00 AM

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Tooling Specialist
  • Careerbuilder
  • Portage, MI
  • As worldwide experts in filtration, MANN+HUMMEL develop solutions for vehicles, industrial applications, clean air insid...
  • 3/25/2024 12:00:00 AM

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EHS Specialist
  • Invenergy
  • Battle Creek, MI
  • Invenergy drives innovation in energy. Powered by decades of entrepreneurial experience and unparalleled execution, we s...
  • 3/25/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Battle Creek, MI
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/24/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Kalamazoo, MI
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/24/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Portage, MI
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/24/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Coldwater, MI
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/24/2024 12:00:00 AM

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Customer Support Specialist - Work From Home>
  • Zip
  • Kalamazoo, MI
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $75K per year / Full health, vision & dental / Apple equipm...
  • 3/24/2024 12:00:00 AM

Battle Creek is a city in the U.S. state of Michigan, in northwest Calhoun County, at the confluence of the Kalamazoo and Battle Creek rivers. It is the principal city of the Battle Creek, Michigan Metropolitan Statistical Area (MSA), which encompasses all of Calhoun County. As of the 2010 census, the city had a total population of 52,347, while the MSA's population was 136,146. According to the United States Census Bureau, the city has a total area of 43.73 square miles (113.26 km2), of which 42.61 square miles (110.36 km2) is land and 1.12 square miles (2.90 km2) is water, making Battle Cree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$39,711 to $48,851
Battle Creek, Michigan area prices
were up 1.3% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020