Care Referral & Scheduling Specialist

Trinity Health Corp.; Mason City (IA); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Full benefits package

Job summary

MercyOne Health System is seeking a Referral Specialist to manage patient referrals, authorizations, and scheduling across designated locations. The role serves as a liaison among patients, providers, and medical staff to ensure timely care coordination and accurate data entry in clinic and hospital systems.

Responsibilities include verifying insurance eligibility, obtaining prior authorizations, and communicating approvals or denials to patients.

Qualifications

• High school diploma or equivalent required.
• Minimum of 1 year of relevant experience in a healthcare setting required, with prior medical office experience preferred.

Responsibilities

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Works directly with patients, families, insurance representatives, physicians, and vendors to facilitate the 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 with appropriate specialists and providers, ensuring timely communication of appointment details.

Skills

Patient interaction

Healthcare experience

Attention to detail

Phone communications

Education

High school diploma or equivalent

Job description

MercyOne Health System is seeking a Referral Specialist to manage patient referrals, authorizations, and scheduling across designated locations. The role serves as a liaison among patients, providers, and medical staff to ensure timely care coordination and accurate data entry in clinic and hospital systems.

Responsibilities include verifying insurance eligibility, obtaining prior authorizations, and communicating approvals or denials to patients.