Referral Specialist - Full Time
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At a glance
Job overview
Trinity Health is hiring a Referral Specialist - Full Time. The Referral Specialist manages patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations, acting as a liaison between patients, providers, and medical support staff while verifying insurance eligibility and entering necessary information into systems.
Key focus areas include Demonstrate Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions, Work directly with patients, families, insurance representatives, physicians, and vendors to facilitate the referral process, and Coordinate, process, and track patient referrals, authorizations, and scheduling with accuracy and attention to detail.
Important skills include Patient Referral Management, Prior Authorization Processing, Appointment Scheduling, Insurance Eligibility Verification, Phone Communication, and Medical Office Coordination.
Skills & qualifications
Skills
Qualifications
Full job description
Employment Type: Full time Shift: Day Shift
Description: Position Title:
Referral Specialist
Position Purpose:
The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations. Serving as a liaison between patients, providers, and medical support staff, the referral specialist ensures timely coordination 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 of MercyOne Medical Group.
Job Duties:
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Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
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Works directly with patients, families, insurance representatives, physicians, and vendors to facilitate the referral process.
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Coordinates, processes, and tracks patient referrals, authorizations, and scheduling with accuracy and attention to detail.
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Verifies insurance coverage, obtains prior authorizations, and communicates approval/denial to patients.
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Schedules patient appointments with appropriate specialists and providers, ensuring timely communication of appointment details.
Minimum Qualifications:
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High school diploma or equivalent required.
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Minimum of 1 year of relevant experience in a healthcare setting required, with prior medical office experience preferred.
Hours:
Full Time
40/week
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’s 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.
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