Referral Specialist: Care Coordination & Scheduling

IHA; Des Moines (IA); On-site; USD 36,000 - 48,000; Full time

Job summary

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

Day shift, full-time position with responsibilities including coordinating referrals and communicating appointment details to patients.

Qualifications

• High school diploma or equivalent required.
• Minimum 1 year of healthcare experience, preferably in a medical office.
• Experience with insurance verification and prior authorizations is preferred.

Responsibilities

• Knows, understands, incorporates, and demonstrates MercyOne Health System mission and values in daily work.
• Works with patients, families, insurance representatives, physicians, and vendors to facilitate referrals.
• Coordinates and tracks patient referrals, authorizations, and scheduling with accuracy.
• Verifies coverage, obtains prior authorizations, and communicates approvals/denials to patients.
• Schedules appointments with specialists and providers, ensuring timely communication of details.

Skills

Referral coordination

Insurance verification

Prior authorizations

Scheduling

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. You will verify insurance eligibility, obtain prior authorizations, and enter demographic and insurance data into clinic systems, serving as a liaison among patients, providers, and staff.

Day shift, full-time position with responsibilities including coordinating referrals and communicating appointment details to patients.