Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Facilitates, prior authorizes, and schedules MercyOne Clinic patients for appointments, referrals tests and procedures. Adheres to MercyOne Northeast Iowa's performance expectations and performs all defined services and other related duties in accordance with mission, vision and values of MercyOne Northeast Iowa.
Requirements:Graduate of an accredited nursing or medical assistant program preferred. Candidates with Certification and/or appropriate experience in a related field (lab, X-ray, etc.) or experience with insurance prior authorization will be considered.
Current license and/or certification in accordance with education. BLS. Mandatory Reporter..
Clear All
0 Referral Specialist jobs found in Waterloo, IA area