Referral Rep (BMG)

Company Name: Beacon Health System
Location: South Bend, Indiana, United States
Job Type: Full-time
Salary Range: Negotiable
Industry: Healthcare

Job Overview

Beacon Health System is a leading provider of comprehensive healthcare services, dedicated to enhancing the health of the communities we serve. We are seeking a highly organized and patient-focused Referral Rep (BMG) to join our team in South Bend, Indiana. This Full-time, Entry-Level to Mid-Level role offers a vital opportunity to directly facilitate patient care by managing critical referral processes and ensuring seamless coordination between patients, providers, and health plans.

As a Referral Rep, you will be instrumental in processing patient referrals, obtaining insurance authorizations, and maintaining accurate medical records. You will leverage your strong communication skills, knowledge of medical coding, and attention to detail to provide exceptional support to both patients and clinical staff. If you are a proactive problem-solver with a customer-focused mindset, thrive in a dynamic medical office environment, and are eager to make a tangible impact on patient access to care, Beacon Health System invites you to apply.

Duties and Responsibilities

• Receive and greet patients and visitors, and efficiently check in patients upon arrival.
• Receive telephone calls, accurately taking and relaying messages.
• Obtain comprehensive information from patients to complete and maintain records.
• Maintain organized patient files, charts, and records with meticulous attention to detail.
• Maintain good rapport and cooperative working relationships with all internal and external contacts.
• Maintain technological competencies, organization, and neatness in your work area.
• Complete all mandatory in-services and training as required.
• Assist co-workers as needed, fostering a collaborative team environment.
• Act as a crucial liaison between provider offices, physicians, health plans, and other departments.
• Perform online insurance eligibility/authorizations and schedule diagnostic/specialty referrals.
• Resolve re-certification, registration, and case-related concerns promptly and effectively.
• Gather pertinent information from insurance carriers, financial counselors, and other relevant parties.
• Provide essential support to clinical staff for administrative components of clinical referrals.
• Verify insurance coverage and diligently obtain necessary authorizations for services.
• Accurately enter referrals and document all communications and actions in the information system.
• Evaluate current processes for enhancement opportunities and make recommendations for improvement.
• Interpret physician’s instructions to patients and provide clear, understandable instruction.
• May schedule imaging and diagnostic procedures as required.
• Attend all required meetings and actively participate in committees as assigned.
• Enhance professional growth and development through continuous learning.
• Complete other job-related duties and projects as assigned by management.
• Be willing to work additional or other shifts and schedules when required to meet departmental needs.
• Provide excellent customer service in all interactions, adjusting communication skills to the patient’s level.
• Work under direct supervision, but with independent critical thinking and extensive problem-solving.
• Apply a High school diploma or equivalent.
• Utilize previous medical office experience (preferred).
• Possess knowledge of ICD-10, CPT, online insurance eligibility/authorizations, and specialty/diagnostic referral experience (preferred).
• Demonstrate well-developed communication skills (clear, effective, with internal and external contacts).
• Possess knowledge of Allscripts, Cerner, referral database, Excel, Word, Outlook, and Net Learning.
• Adhere to all laws and regulations pertaining to patient health, safety, and medical information.
• Apply analytical skills to solve patient problems and interpret data.
• Demonstrate tactfulness in handling patient problems (personal, confidential).
• Maintain professionalism during frustrating interpersonal situations.

Qualifications

• Experience Level: Entry-Level to Mid-Level (Previous medical office experience preferred, but not explicitly defined by years).
• Education Requirement: High school diploma or equivalent required.
• Required Skills:
  • High school diploma or equivalent.
  • Previous medical office experience (preferred).
  • Knowledge of ICD-10, CPT, online insurance eligibility/authorizations, and specialty/diagnostic referral experience (preferred).
  • Well-developed communication skills (clear, effective, with internal and external contacts).
  • Knowledge of Allscripts, Cerner, referral database, Excel, Word, Outlook, and Net Learning.
  • Knowledge of and adherence to all laws and regulations pertaining to patient health, safety, and medical information.
  • Analytical skills (solving patient problems, interpreting data).
  • Tactfulness in handling patient problems (personal, confidential).
  • Ability to maintain professionalism during frustrating interpersonal situations.
  • Proficient in receiving and greeting patients and visitors; checking in patients.
  • Skilled in receiving telephone calls, taking and relaying messages accurately.
  • Ability to obtain information from patients to complete records.
  • Proficient in maintaining patient files, charts, and records.
  • Ability to maintain good rapport and cooperative working relationships.
  • Committed to maintaining technological competencies, organization, and neatness in work area.
  • Capable of completing mandatory in-services.
  • Willingness to assist co-workers.
  • Ability to act as liaison between provider offices, physicians, health plans, and other departments.
  • Skilled in performing online insurance eligibility/authorizations, scheduling diagnostic/specialty referrals.
  • Proficient in resolving re-certification, registration, and case-related concerns.
  • Ability to gather pertinent information from insurance carriers, financial counselors, etc.
  • Providing support to clinical staff for administrative components of clinical referrals.
  • Skilled in verifying insurance coverage and obtaining authorizations.
  • Proficient in entering referrals and documenting communications/actions in information system.
  • Ability to evaluate current processes for enhancement and making recommendations.
  • Capable of interpreting physician’s instructions to patients and providing instruction.
  • May schedule imaging and diagnostic procedures.
  • Ability to attend required meetings and participate in committees.
  • Committed to enhancing professional growth and development.
  • Capable of completing other job-related duties and projects.
  • Willingness to work additional or other shifts and schedules when required.
  • Committed to providing excellent customer service.
  • Ability to adjust communication skills to the patient’s level.
  • Ability to work under direct supervision, but with independent critical thinking and extensive problem-solving.

Salary and Benefits

Beacon Health System offers competitive compensation for this Full-time Referral Rep (BMG) position. Your salary will be negotiable and determined based on your experience and qualifications. We are committed to fostering a supportive and rewarding work environment for our valued administrative professionals. Beyond your salary, Beacon Health System provides a comprehensive benefits package designed to support your overall well-being and professional growth, which typically includes robust medical, dental, and vision insurance, generous paid time off, and retirement planning options.

Working Conditions

This is a Full-time, On-site position located in South Bend, Indiana, United States. You will primarily work within a medical office environment, engaging directly with patients and visitors, and interacting extensively via phone. The role requires strong organizational skills, attention to detail, and the ability to manage multiple administrative tasks in a fast-paced setting. You will be expected to maintain professionalism, exercise independent critical thinking, and solve problems effectively, often handling personal and confidential patient information with tact. Standard business hours are generally observed, though you may be required to work additional or other shifts/schedules when needed.

Why Work with Us

At Beacon Health System, we are more than just a healthcare provider; we are a dedicated community of caregivers committed to enhancing the health and well-being of those we serve. Joining us as a Referral Rep (BMG) means becoming a vital part of a system that values Healthcare excellence and compassionate Customer Service.

You’ll be empowered to streamline crucial patient processes, collaborate with diverse healthcare professionals, and directly contribute to ensuring seamless access to care for our community. We offer a supportive environment where your communication skills, problem-solving abilities, and commitment to patient satisfaction are highly valued. If you are a driven and detail-oriented individual seeking a challenging role where your contributions make a tangible impact on patient journeys, Beacon Health System offers an excellent opportunity for your career growth.