Referral Coordinator- Academic Internal Medicine- 40 hours- Days

Henry Ford Ascension Medical Group MI - Southfield, MI

Full-time - Entry Level

Southfield, MI

About the position

The Referral Coordinator in the Academic Internal Medicine department is responsible for verifying insurance coverage, coordinating benefits, and ensuring timely billing for services. This role involves communicating with patients and practitioners about financial responsibilities and maintaining detailed documentation of billing activities. The position is essential for ensuring that all necessary authorizations are obtained and that claims are processed accurately and efficiently.

Responsibilities

• Determines and verifies insurance coverage and coordination of benefits for assigned area.
• Confirms insurance coverage and obtains pre-authorization for scheduled procedures.
• Determines financial responsibility for services and notifies patients/practitioners of any unauthorized services.
• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintains detailed documentation in the patient account record of all billing activities.
• Prepares and completes claims for commercial insurance companies, third party organizations, and government or self payers.
• Researches, analyzes, and reconciles Medicare/Medicaid billing and reimbursement practices.
• Consults with appropriate parties to resolve unbilled claims and reviews accounts for proper billing practices.

Requirements

• High School diploma equivalency or 1 year of applicable cumulative job specific experience required.
• Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Benefits

• Competitive health plan options including CDHPs, PPO, and HMO plans.
• Dental and eye care coverage.
• Tuition assistance.
• Family forming benefits.
• Discounts to dozens of businesses.