Referral Specialist

Where You'll Work

At CHI Mercy Health, you'll discover a place where your professional growth is deeply valued within a truly supportive and rewarding environment. For over a century, our commitment to Compassion, Inclusion, Integrity, Excellence, and Collaboration has guided every interaction, shaping how we care for our patients and uplift one another. Today, as CHI Mercy Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. We are proud of our state-of-the- art care and numerous awards and accreditations that reflect our dedication to excellence. When you join CHI Mercy Health, you become part of a team that delivers top-quality, professional healthcare and contributes to a legacy of service built on collaboration and shared purpose.

Job Summary and Responsibilities

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes.

Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services, and secure approvals for medications, DME, home health, and other vital services.

To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.

• Gather, verify, and process referrals, authorizations, and pre-certifications.
• Communicate detailed information and answers patients' questions regarding their health care plan, billing and insurance clarification.
• 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.

Job Requirements

Required

• High School Diploma or GED
• Two (2) years of progressively responsible related experience in a healthcare environment