Referral & Care Coordination Specialist

MercyOne; Des Moines (IA); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Full benefits package

Job summary

MercyOne Health System is seeking a Referral Specialist to manage and facilitate patient referrals, authorizations, and scheduling across designated locations. You will verify insurance eligibility, obtain prior authorizations, and enter demographic data while serving as a liaison among patients, providers, and medical support staff.

The role emphasizes coordinating referrals, communication with patients, and timely scheduling of appointments with appropriate specialists, contributing to a

Qualifications

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

Responsibilities

• Knows, understands, incorporates, and demonstrates MercyOne Mission and Values in behavior.
• Works directly with patients, families, insurance representatives, physicians, and vendors to facilitate referrals.
• Coordinates, processes, and tracks patient referrals, authorizations, and scheduling with accuracy.
• Verifies insurance coverage, obtains prior authorizations, and communicates decisions to patients.
• Schedules patient appointments with appropriate specialists and providers and communicates details.

Skills

Healthcare experience

Education

High school diploma or equivalent

Job description

MercyOne Health System is seeking a Referral Specialist to manage and facilitate patient referrals, authorizations, and scheduling across designated locations. You will verify insurance eligibility, obtain prior authorizations, and enter demographic data while serving as a liaison among patients, providers, and medical support staff.

The role emphasizes coordinating referrals, communication with patients, and timely scheduling of appointments with appropriate specialists, contributing to a