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Referral Rep (BMG) in South Bend, IN - Careers at Beacon Health System - Jobs in Healthcare Referral Rep (BMG) in South Bend, IN - Careers at Beacon Health System - Jobs in Healthcare
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Beacon Health System has been named to the prestigious 2023 Forbes list of America's Best Employers by State.
"We are honored to be recognized by Forbes as one of the top employers in the state of Indiana," said Beacon Health System CEO Kreg Gruber. "I am grateful to our associates for their significant contributions to our health system and their unwavering dedication to our patients every day. We strive to make Beacon a great workplace for everyone."
"I want to thank and congratulate each and every Beacon associate for their hard work, because we can't be a great employer without them," Gruber said. "This recognition would not be possible without a commitment to our mission - to deliver outstanding care, inspire health and connect with heart."
COVID Vaccination Required
Our mission is to deliver outstanding care, inspire health and connect with heart. For us to fully deliver outstanding care, we must ensure we provide the safest environment for care that we can. Beacon is now requiring the COVID vaccination for all associates.
Beacon Breaks Ground on New Memorial Hospital Patient Tower
In October 2022, Beacon Health System leaders broke ground on the new 10-story patient care tower on the campus of Memorial Hospital of South Bend. This transformational, once-in-a-generation project is designed to enrich the patient, family and visitor experience while meeting the growing healthcare needs of residents in our area for decades to come.
The tower is expected to create an estimated 500 new jobs in the community upon anticipated completion in early 2026. Click here to learn more about the new patient tower.
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Referral Rep (BMG)
- South Bend, IN
- BMG Nephrology
- Beacon Medical Group
- Full-time - Day - Monday - Friday 8:00-5:00
- Req #: 224468
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Summary
Reports to the Manager/Director and works under the direction of the Office Supervisor. Under general supervision and according to established policies and procedures. Responsibilities include Receptionist duties as well as scheduling specialty and/or diagnostic procedures, knowledge of ICD-10, CPT and online Authorizations. Assists in coordinating health care services to a large outpatient client population. Verifies insurance eligibility when appropriate for the physician office and/or member.
MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Performs routine reception and clerical duties in accordance with established policies and procedures by:
- Receiving and greeting patients and visitors and checking in patients for their appointments.
- Receiving telephone calls, taking and relaying messages accurately.
- Obtaining information from the patient to accurately complete the patient record for payment information, computer input, etc.
- Maintaining patient files, charts, and records.
- Maintaining good rapport and cooperative working relationship with all members of the medical offices, other medical offices, hospital services, and community agencies.
- Maintaining technological competencies, organization, and neatness in the work area.
- Completing all mandatory in-services in required time frame.
- Assisting co-workers as needed.
- Acting as liaison between provider offices, physicians, health plans and other department to ensure high quality customer service are being delivered.
Performs Referral duties in accordance with established policies and procedures by:
- Performing online insurance eligibility/authorizations, and scheduling diagnostic/specialty referrals.
- Resolving re-certification, registration and case-related concerns prior to a patient''s appointment
- Gathering pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient''s financial obligations for services provided.
- Providing support to clinical staff in order to facilitate the administrative components of clinical referrals for various services.
- Acting as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral sources.
- Verifying insurance coverage and obtains authorizations if needed from insurance coverage.
- Entering referrals and documents communications, actions, and other data in an information system
- Evaluating current processes for enhancement and make necessary recommendations.
Patient care duties, as directed by the physician or nurse, by:
- Interpreting physician''s instructions to patients and providing instruction to patients.
- May schedule imaging and diagnostic procedures.
Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department.
- Attending required meetings and participating in committees as requested.
- Enhancing professional growth and development through in-service meetings and educational programs as approved.
- Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon''s six-point Operating System, referred to as The Beacon Way:
- Leverage innovation everywhere.
- Cultivate human talent.
- Embrace performance improvement.
- Build greatness through accountability.
- Use information to improve and advance.
- Communicate clearly and continuously.
Education and Experience
- The knowledge, skills and abilities as indicated are normally acquired through the successful completion of a high school diploma or equivalent; Previous medical office experience, ICD-10, CPT, online insurance eligibility/authorizations, and specialty/diagnostic referral experience preferred.
Knowledge & Skills
- Demonstrates well developed communication skills to communicate effectively and clearly to a variety of internal and external contacts.
- Knowledgeable in ICD-10, CPT, online insurance eligibility/authorizations, and scheduling diagnostic/specialty referrals.
- Knowledge of Allscripts, Cerner, referral database, excel, word, outlook, and net learning.
- Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.
- Demonstrates analytical skills necessary to solve patient problems and interpret data.
- Promotes collaboration and innovation in the clinical services to ensure an interdisciplinary approach to improving health care delivery and the quality of patient care.
- Must be tactful in handling patient problems often of a highly personal and confidential nature.
- Must be able to maintain professionalism during frustrating interpersonal situations.
Working Conditions
- Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needed.
- May need to travel to other Beacon locations.
- Understands and strives for providing excellent customer service.
- Ability to adjust communication skills to the level of the patient.
- Works under direct supervision, but requires independent critical thinking skills and extensive problem solving skills.
Physical Demands
- Requires the physical ability and stamina to perform the essential functions of the position.
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