Referral Specialist

3 weeks ago

Des Moines, United States Trinity Health Corporation Full time

Employment Type:

Full time

Shift:

Description:

Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.

Day-to-day:

* Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
* Communicate detailed information and answer patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
* 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 patients.
* Enter referrals, documents, communications and action into the system, as appropriate.
* Notify physician(s) and patient when referral is denied, or if additional information is needed.
* Develop and maintain a database of referral physician offices preferred by each physician within the clinic.
* Assist Practice Manager with complaint resolution and solutions related to patient referrals. Perform other duties as assigned by the practice manager or physician.

Qualifications:

* High school diploma or equivalent required.
* 2 years of progressively responsible related experience in a healthcare environment required.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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