Referral Specialist

Where Youll Work

At CHI Mercy Health youll 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

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

Required Experience:

IC