Referral Specialist - Neurology - Full Time

Trinity Health; Des Moines (IA); On-site; USD 42,000 - 54,000; Full time

Job summary

MercyOne Health System in Des Moines, IA is seeking a Referral Specialist to manage patient referrals and authorizations and to schedule appointments, tests, and procedures across designated locations. The role serves as a liaison between patients, providers, and medical staff, verifying insurance eligibility and entering demographic data into clinic and hospital systems.

Minimum qualifications include a high school diploma and at least one year of healthcare experience; prior medical office

Qualifications

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

Responsibilities

• Knows MercyOne Mission, Vision, and Values and demonstrates them in decisions.
• Works with patients, insurers, physicians, and vendors to facilitate referrals.
• Coordinates referrals, authorizations, and scheduling with accuracy.
• Verifies insurance coverage and obtains prior authorizations.
• Schedules appointments with specialists and communicates details promptly.

Education

High school diploma or equivalent

Job description

Employment Type: Full time

Shift: Day Shift

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.