Referral Specialist - Full Time

IA_MMC Mercy Health Services - Iowa, Corp.; Mason City (IA); On-site; USD 42,000 - 56,000; Full time

Job summary

Trinity Health Corp. in Mason City, IA seeks a Referral Specialist to manage referrals, authorizations, and scheduling for patients across designated locations.

You will coordinate with patients, providers, and medical staff to ensure timely care and accurate data entry in clinic and hospital systems. The role requires a high school diploma and at least one year in a healthcare setting; prior medical office experience is preferred.

Qualifications

• High school diploma or equivalent.
• 1 year of relevant healthcare experience; medical office experience preferred.

Responsibilities

• Coordinate and track patient referrals, authorizations, and scheduling.
• Verify insurance coverage and obtain prior authorizations.
• Schedule patient appointments with appropriate providers.

Skills

Care coordination

Insurance verification

Patient scheduling

Communication

Education

High school diploma or equivalent

Tools

EMR systems

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:

• 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.

Minimum 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.

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.