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Referral Specialist - Full Time

MercyOne

Employment Type: Full time Shift: Day Shift Position Title: 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. Hours 32 hours/week Minimum Qualifications High school diploma or equivalent required. Minimum of1year of relevant experience in a healthcare settingrequired, with prior medical office experience preferred. Colleagues ofMercyOneHealth System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! 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. #J-18808-Ljbffr

Vacancy posted 17 hours ago
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