Patient Services Representative Referrals at Corewell Health

Grand Rapids, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Aug, 26

Salary

0.0

Posted On

18 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Scheduling, Referral Management, Insurance Authorization, EMR/EHR Management, Patient Registration, Medical Record Review, Customer Problem Solving, Care Coordination, Professionalism, Critical Thinking, Adaptability, Collaborative Work

Industry

Hospitals and Health Care

Description

Shift and status Full time position, 8:30 a.m. to 5:30 p.m., No weekends. Job Summary Join our Orthopedic team as a Referral Patient Service Representative. This role supports patient access and care coordination by managing incoming referrals, scheduling appointments and ensuring patients are connect to the appropriate provider and level of care in a timely and efficient manner. This role serves as a critical link between patients, providers and clinical teams while promoting exceptional patient experience, operational excellence and accurate scheduling practices. The Referral PSR works in a high volume, fast-paced, team- driven environment. Successful candidates demonstrate strong communication skills, attention to detail, professionalism, critical thinking, adaptability and the ability to work collaboratively within standardized workflows while support quality, compliance, patient safety and access goals. Essential Functions Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms. Performs administrative functions, including, but not limited to: assists with patient check-out; schedules patient appointments, incoming/outgoing referrals, in office procedures, surgeries and tests, including medical record review of incoming referrals; maintains and modifies provider template; navigates external patient referral portals; reconciles multidepartment deposit. Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals. Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC. Assists with training new team members utilizing standard work. Ability to perform the role of Patient Services Representative, Associate when necessary. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. Performs other duties as assigned. Qualifications Required High School Diploma or equivalent 2 year of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields As part of our hiring process, you may be invited to complete an initial screening using an AI‑enabled voice agent. This screening focuses on job‑related qualifications and is reviewed by our hiring team as one part of the overall evaluation process. The voice agent provides the opportunity for applicants to respond at a time that works best for them. The voice agent works 24/7 - just like healthcare! If you have any questions, please email Jennifer.quesenberry@corewellhealth.org About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - 2770 East Beltline Ave NE - Grand Rapids Department Name Ortho Shared Services 2770 East Beltline - Medical Group West Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:30 a.m. to 5:30 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447. People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.

Responsibilities

Manage incoming referrals and schedule appointments to ensure patients are connected to the appropriate provider and level of care. Perform administrative tasks including insurance authorization, EMR scanning, and patient check-out processes.