About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Insurance Referral Specialist
Department: Radiation Therapy Flint
Shift: Days
Daily Work Times: 7:00 a.m. - 5:00 p.m. variable
Scheduled Bi-Weekly Hours: 80
Pay Range: $16.11 - $19.97 (based on years' experience)
Position Summary:
Under general supervision, processes patient referrals from and to other healthcare practices per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external provider. Ensures that all new patient records are received prior to the initial scheduled visit to the clinic. Processes proper insurance authorizations prior to patient’s scheduled appointments and verifies that new patient insurance is current and participates with organization.
Essential Functions and Responsibilities:
1. Evaluates and schedules new patient referrals. Communicates with referring organization and patient with details of appointments.
2. Reviews content of new patient referrals and obtains appropriate records and scans/uploads to EMR prior to scheduling the appointment. Obtains disks with performed studies at outside facilities. Utilizes connection to PACS to have images transferred from available sites.
3. Access internal and external EMR systems to obtain records on patients of the department
4. Works with clinical staff when needed to evaluate the timing of scheduling the new patient appointment.
5. Documents in EMR the communication and status of new patient appointment.
Qualifications:
- Associate degree, or two years of college, and
- 1 year work experience in an acute care setting or physician office with similar duties that includes extensive use of Electronic Medical Records
OR
- A High School Diploma and a minimum of 3 year of work experience in an acute care setting or physician office with similar duties that includes extensive use of Electronic Medical Records.
- Medical Assistant certificate from a CAAHEP-accredited program can be used to substitute up to 12 months of the work experience requirement.
Preferred:
- Experience with coordination and scheduling in-patient and out-patient procedures
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
