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Employment Type:

Full time

Shift:

Day Shift

Description:

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Siouxland Medical Center has earned more national recognition for quality patient outcomes than any other hospital in the region. The medical center has earned multiple honors for its leadership and excellence in several clinical areas including cardiac care, orthopedic services, vascular surgery, stroke care and cancer care.

Want to learn more about MercyOne Siouxland? Click here: Find a Location Sioux City, Iowa (IA), MercyOne Siouxland

Join the MercyOne Family! We are looking to hire a Referral Specialist

As a Referral Specialist at MercyOne, you will ensure that patients have access to other specialty healthcare providers under their insurance. As a Referral Specialist, you are an expert in understanding various insurance plans and medical services. Furthermore, referral specialists have excellent communication skills, as they not only talk to patients but also act as a liaison between hospitals, healthcare providers, vendors, and physicians. .

+ Receive referral orders and review patient's insurance to determine in-network referral options.

+ Contact insurance companies to verify if prior approval is necessary and completes prior authorizations for referrals and tests as needed. Work with referring office if more information is required and communicate insurance decision to patient.

+ Schedule patients with appropriate physician and/or hospital while accommodating patient's preferences and schedule.

+ Communicate to patient details of appointment as well as requirements and education of upcoming appointments and/or tests. Document appointments, prior authorization approvals, and communications in patient EMR.

+ Responsible for working reports and communicating with physicians and/or hospitals to ensure referral notes and test results are sent back to the referring office to close the loop.

+ Communication with clinic providers, clinic staff and hospital departments as needed to facilitate patient care, patient flow and special needs.

+ Collaborate with peer Clinical Referral Specialists to problem solve and improve the referral process.

+ Maintains required department confidentiality and abides by HIPPA regulations.

+ Provides competent patient care to the above indicated patient populations by obtaining and appropriately interpreting data, making appropriate decisions based on demonstrated knowledge of age-specific growth and development, and appropriately adapting procedures and treatments.

Schedule:

+ Full Time

+ Days 8am-4:30 pm

General Requirements:

+ Six months of office or customer service experience required, preferably in a medical office setting. OR completion of an Administrative Assistant Diploma

+ Computer experience preferred.

+ Typing speed of 35 words per minute preferred.

+ Ability to maintain a high degree of confidentiality.

+ Ability to perform multiple tasks simultaneously.

Education:

+ High school diploma or equivalent; knowledge of medical terminology is preferred.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers (https://www.mercyone.org/careers/) to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Visit MercyOne on LinkedIn (https://www.linkedin.com/company/saint-alphonsus-health-system/) , Facebook (https://www.facebook.com/SaintAlphonsus/) , Instagram (https://instagram.com/saintalphonsus?utm\_source=ig\_profile\_share&igshid=1ecujfk63xezr) , YouTube (https://www.youtube.com/channel/UCFgYXHlHzYPLDjozyU03WGA) , and Twitter (https://twitter.com/SaintAlsHealth) !

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.

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.

EOE including disability/veteran