Referral Coordinator - On-Site, Day Shift (No Weekends)

Trinity Health; Des Moines (IA); On-site; USD 42,000 - 52,000; Full time

Job summary

MercyOne Des Moines is seeking a Referral Specialist to manage referrals, authorizations and pre-certifications on-site in Des Moines. You will ensure timely processing for specialty visits and coordinate with physicians, patients, and payers.

Responsibilities include setting up appointments, addressing billing questions, and maintaining referral records with attention to detail and healthcare terminology. A high school diploma and 2 years of related experience are preferred.

Qualifications

• Gather, verify, and process referrals, authorizations, and pre-certifications.
• Communicate billing and insurance questions clearly to patients.
• Set up appointments and coordinate clinic visits.
• Enter referrals and communications into the system.
• Notify physician and patient if referrals are denied.

Responsibilities

• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
• Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Coordinate flow of information between medical clinic and referral authorization department to secure 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 within the clinic.
• Assist Practice Manager with complaint resolution and solutions related to patient referrals.
• Perform other duties as assigned by the practice manager or physician.

Skills

Referral processing

Patient communications

Appointments coordination

Data entry

Education

High school diploma

Healthcare experience (2 yrs)

Job description

MercyOne Des Moines is seeking a Referral Specialist to manage referrals, authorizations and pre-certifications on-site in Des Moines. You will ensure timely processing for specialty visits and coordinate with physicians, patients, and payers.

Responsibilities include setting up appointments, addressing billing questions, and maintaining referral records with attention to detail and healthcare terminology. A high school diploma and 2 years of related experience are preferred.