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.

Our business office is looking for a highly motivated Patient Services Intermediate  / Referral Coordinator to join our Canton Health Center team, with a primary focus on managing and facilitating referral workflows. The Referral Coordinator will be responsible for processing incoming and outgoing referrals, including coordinating scheduling and ensuring timely follow-up to support continuity of care.

In addition to referral management, this role will be responsible for obtaining required insurance authorizations, including Global authorizations, for referred services. The position will work closely with clinical teams, patients, and external offices to ensure all referral and authorization requirements are completed accurately and efficiently.

The Referral Coordinator will serve as a key resource in navigating payor requirements, supporting appropriate documentation, and identifying opportunities to improve referral and authorization processes from both workflow and technology perspectives.

• Manage and expedite incoming and outgoing referrals in a timely manner

• Coordinate scheduling for referred services, including appointments, tests, and consults across specialties

• Support referral and authorization needs, with a primary focus on referral coordination workflows

• Verify insurance coverage and identify patient financial responsibility; assist with patient billing questions as needed

• Complete all aspects of the insurance authorization process within required timeframes

• Prioritize and secure required authorizations prior to service to reduce cancellations and reschedules

• Process referrals in accordance with established payor guidelines, ensuring accuracy and completeness

• Manage and maintain referral and authorization work queues

• Serve as a resource for providers, staff, patients, and external partners regarding referral and authorization-related questions

• Obtain retro authorizations for denied or rejected claims and initiate appropriate follow-up actions, documenting outcomes

• Escalate complex insurance or financial concerns to Patient Financial Clearance, Financial Counselors, or appropriate resources

• Support overall operational, quality, and financial goals of Michigan Medicine and the Pre-Service Revenue Cycle

• Respond to patient concerns, complaints, and inquiries in a timely and professional manner

• Participate in cross-training and support other office functions as needed

• Perform other duties as assigned by leadership

   

  Qualifications:

•  

• Graduation from high school or an equivalent combination of education and experience.

• Minimum 3 years of experience

   

• 3 or more years of customer service experience within a medical environment.
• Minimum 3 years of experience with processing referrals and insurance authorizations.
• Deep understanding of ICD-10, CPT, HCPCS codes.
• Prior experience performing complex scheduling.
• Complete understanding of coordination of benefits
• Experience with University systems including MiChart/Epic.
• Experience working within a large complex healthcare setting
• Knowledge of UMHS policies and procedures

• 3-4 years with processing referrals and insurance authorizations.

   

• Prior experience with referral coordination and/or insurance authorizations preferred
• Strong organizational skills with the ability to manage multiple workflows simultaneously

• Ability to work collaboratively across departments and communicate effectively with patients and staff

   

• Demonstrated attention to details.
• Knowledge of basic medical terminology
• Exceptional interpersonal skills and ability to work well within a team setting
• Communicates effectively by demonstrating active listening, strong written and verbal communication, and proficient information technology skills.
• Ability to multi-task in a fast paced, multi-disciplinary clinical setting.
• Proficiency in use of computers and software, including Microsoft Office products.
• Demonstrated ability to work independently, with proven proficiency in identifying problems, seeking appropriate solutions, and implementing them effectively.
• Demonstrated excellent attendance
• 100% onsite; 40 hours Monday-Friday. 

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

• 100% onsite

• 40 hours Monday-Friday

   

This position is located on-site at the Canton Health Center.

This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.

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.

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

The University of Michigan is an equal employment opportunity employer.