Referral Specialist - Full time-Days-MercyOne River Point Central IA

Trinity Health

2d • Onsite

About The Position

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers. With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers. Want to learn more about MercyOne Des Moines? Click here: Find a Location Des Moines, Iowa (IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Referral Specialist! As a Referral Specialist at MercyOne, you will work with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement. Schedule: Full Time 40hrs a week, On-Site position, Monday - Friday day shift, flexible schedule, no holidays or weekends. General Requirements: Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers. Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions. Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc. Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient. Enter referrals, documents communications and action into the system, as appropriate. Notify physician(s) and patient when referral is denied, or if additional information is needed. Develop and maintain database of referral physician offices preferred by each physician within the clinic. Assist Practice Manager with complaint resolution and solutions related to patient referrals. Perform other duties as assigned by the practice manager or physician. Education: High school diploma or equivalent required. 2 years of progressively responsible related experience in a healthcare environment required. Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.

Requirements

• High school diploma or equivalent required.
• 2 years of progressively responsible related experience in a healthcare environment required.

Responsibilities

• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
• Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
• Enter referrals, documents communications and action into the system, as appropriate.
• Notify physician(s) and patient when referral is denied, or if additional information is needed.
• Develop and maintain database of referral physician offices preferred by each physician within the clinic.
• Assist Practice Manager with complaint resolution and solutions related to patient referrals.
• Perform other duties as assigned by the practice manager or physician.

Benefits

• Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
• Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED