Referral Rep, Central Referral Dept, Full-Time Days in South Bend, Indiana at Beacon Health System

Beacon Health System is hiring a full-time day shift Referral Rep for our Central Referral Dept at Beacon Medical Group in South Bend, IN.

Be a Beacon. Make a Difference.

At Beacon Health System, you’re not just part of a team, you’re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.

• Medical, Dental, & Vision Insurance through Cigna

• Life Insurance

• 403(b) Matching Retirement Fund

• Competitive Paid Time Off (PTO)

• Shift Differentials

• Employee Assistance Program (EAP)

• Tuition and Certification Reimbursement

• Clinical Ladder Program

• Local and National Discounts

• Beacon Academy Educational Courses

• Gym Membership Discount

About Beacon Medical Group
As a division of Beacon Health System, Beacon Medical Group is the largest, most comprehensive medical group in the region. Currently employing more than 250 physicians, 80 advanced practice clinicians, and representing over 35 different specialties, BMG is deeply rooted in the community it serves. Providing comprehensive treatment with a personal touch, we’re dedicated to improving health and inspiring hope throughout the region.

What You’ll Do

As a Referral Rep, you will report 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.

Referral Rep Job Responsibilities:

• Serve as the primary point of contact for patients and visitors, providing exceptional customer service and managing front-office operations.
• Coordinate patient check-in, scheduling, registration, and referral processes while maintaining accurate demographic, insurance, and medical record information.
• Answer and route incoming calls, relay messages, and facilitate communication between patients, providers, health plans, hospitals, and ancillary departments.
• Process insurance eligibility verification, authorizations, referrals, and pre-certifications to ensure timely patient access to care.
• Schedule specialty consultations, diagnostic testing, imaging, and follow-up appointments in accordance with provider recommendations.
• Support clinical referral workflows by gathering required documentation, coordinating care services, and tracking referral completion.
• Educate patients regarding appointment requirements, referral processes, and provider instructions as directed by clinical staff.
• Maintain patient charts, records, and electronic documentation while ensuring accuracy, confidentiality, and compliance with organizational standards.
• Collaborate with physicians, clinical staff, insurance carriers, financial counselors, and external providers to resolve patient care and financial concerns.
• Identify opportunities to improve referral, scheduling, and administrative processes to enhance patient experience and operational efficiency.
• Provide general administrative support including data entry, filing, records management, correspondence, and report preparation.
• Participate in departmental meetings, training programs, professional development activities, and special projects as assigned.
• Maintain compliance with organizational policies, regulatory requirements, workplace safety standards, and mandatory education requirements.

What You Bring

As a Referral Rep, this position requires strong communication and interpersonal skills to effectively interact with a wide range of internal and external stakeholders while maintaining professionalism, confidentiality, and exceptional customer service. The role demands proficiency in ICD-10 and CPT coding, insurance eligibility and authorization processes, and the coordination of diagnostic and specialty referrals. Candidates must be experienced in utilizing electronic health record systems and business applications, including Allscripts, Cerner, referral databases, Microsoft Excel, Word, Outlook, and learning management platforms. A thorough understanding of healthcare laws, regulations, and patient privacy standards is essential to ensure compliance and protect patient information. Strong analytical and problem-solving abilities are required to assess patient needs, interpret data, and resolve issues effectively. The position also promotes collaboration and innovation across clinical services to support an interdisciplinary approach to healthcare delivery and quality patient outcomes. Successful candidates must demonstrate tact, discretion, and professionalism when managing sensitive patient concerns and navigating challenging interpersonal situations.

Required Qualifications

• 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.
• The ability to speak and write Spanish is desired.

The Beacon Way

At Beacon Health System, our approach to care goes beyond clinical excellence because it’s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.

#BHOther26