Referral Specialist - Full Time

Trinity Health•Mason City, IA

About The Position

The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling for appointments, tests, and procedures at designated locations. Serving as a liaison among patients, providers, and medical support staff, the role helps coordinate timely care by verifying insurance eligibility, obtaining prior authorizations, and entering demographic and insurance information into clinic and hospital systems. The position also involves handling phone communications, supporting referral management operations, and following the mission, vision, and performance expectations of MercyOne Medical Group.

Requirements

  • High school diploma or equivalent.
  • At least 1 year of relevant experience in a healthcare setting.

Nice To Haves

  • Prior medical office experience.

Responsibilities

  • Demonstrate the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
  • Work directly with patients, families, insurance representatives, physicians, and vendors to facilitate referrals.
  • Coordinate, process, and track patient referrals, authorizations, and scheduling accurately.
  • Verify insurance coverage, obtain prior authorizations, and communicate approval or denial to patients.
  • Schedule appointments with appropriate specialists and providers and communicate appointment details in a timely manner.

Benefits

  • Competitive compensation
  • Full benefits package
  • Opportunity for growth throughout the system
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