Referral Specialist FT- Hybrid

Employment Type:

Shift:

Description:

Want to learn more about MercyOneDes Moines? Click here:Find a LocationDes Moines, Iowa (IA), MercyOne Des Moines 

Join the MercyOne Family!We are looking to hirea Referral Specialist!

Asa Referral SpecialistatMercyOne, you willwork 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.

• Must be able to come on-site to the Des Moines office (405 SW 5th St. Des Moines, IA)

General Requirements: 

• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely withphysician(s), patients, and payers.
• Communicate detailed information and answers patients' questions regarding their health careplan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such astransportation, interpreter services, specialty care, etc.
• Coordinate flow of information between medical clinic and referral authorization department tosecure 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 withinthe 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 ofMercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughoutthe system! 

VisitMercyOne Careersto learn more about the benefits, culture, and career development opportunities available to you atMercyOne 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.