Referral Specialist Full Time

Referral Specialist

Position Purpose:

The Referral Specialist manages andfacilitatespatient referrals authorizations andschedulingappointments tests and procedures at designated locations. Serving as a liaison between patients providers and medical support staff thereferralspecialist ensurestimelycoordination of care by verifying insurance eligibility obtaining prior authorizations and entering necessary demographic and insurance information into clinic and hospital systems. The role also includes handling phone communications supporting referral management operations and adhering to the mission vision and performance expectations ofMercyOneMedical Group.

Job Duties:

• Knows understands incorporates anddemonstratesthe Trinity Health Mission Vision and Values in behaviors practices and decisions.

• Works directly with patients families insurance representatives physicians and vendors tofacilitatethe referral process.

• Coordinates processes and tracks patient referrals authorizations and scheduling with accuracy and attention to detail.

• Verifies insurance coverage obtains prior authorizations and communicates approval/denial to patients.

• Schedules patient appointments withappropriate specialistsand providers ensuringtimelycommunication of appointment details.

Minimum Qualifications:

• High school diploma or equivalent required.

• Minimum of1year of relevant experience in a healthcare settingrequired with prior medical office experience preferred.

Colleagues ofMercyOneHealth System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careersto learn more about the benefits culture and career development opportunities available to you atMercyOneHealth Systemscircleofcare.