Referral Specialist - Full Time

MercyOne; Waterloo (IA); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Competitive compensation

Growth opportunities

Job summary

MercyOne in Waterloo, IA is seeking a Referral Specialist to manage and coordinate patient referrals, authorizations, and scheduling across locations. You will liaise with patients, providers, and insurance representatives to ensure timely care.

This full-time role requires a high school diploma and at least one year of healthcare experience. You will verify coverage, obtain authorizations, and schedule appointments, contributing to MercyOne's mission and patient-centered care.

Qualifications

• High school diploma or equivalent required.
• Minimum of 1 year of relevant experience in a healthcare setting.

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 tofacilitate 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.

Education

High school diploma or equivalent

1 year of relevant healthcare experience

Job description

Employment Type: Full timeShift: Day ShiftDescription:

Referral Specialist

Position Purpose:

The Referral Specialist manages andfacilitatespatient referrals, authorizations, andschedulingappointments, tests, and procedures at designated locations. Serving as a liaison between patients, providers, and medical support staff, thereferralspecialist ensurestimelycoordination 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 ofMercyOneMedical Group.

Job Duties:

• Knows, understands, incorporates, anddemonstratesthe Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Works directly with patients, families, insurance representatives, physicians, and vendors tofacilitatethe 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 withappropriate specialistsand providers, ensuringtimelycommunication of appointment details.

Minimum Qualifications:

• High school diploma or equivalent required.
• Minimum of1year of relevant experience in a healthcare settingrequired, with prior medical office experience preferred.

Hours:

Full Time

40/week

Colleagues ofMercyOneHealth System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

VisitMercyOne Careersto learn more about the benefits, culture, and career development opportunities available to you atMercyOneHealth System’scircleofcare.

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.