Position Purpose:
The Clinic Referral Specialist facilitates, prior authorizes, and schedules MercyOne North Iowa Medical Group patients for appointments, referrals, tests, and procedures. The Clinic Referral Specialist is responsible for receiving and reviewing referral orders, contacting insurance companies to verify prior approval, appropriately handling phone calls which may include entry into the EHR message center, validating insurance eligibility, entering demographics, insurance, and other pertinent information into the clinic and hospital patient accounting systems.
What you will Do:
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.
Hours/Schedule:
Full time; M-F/no weekends or holidays
Minimum Qualifications:
Education:
High school diploma or equivalent; knowledge of medical terminology is preferred
Experience:
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
Position Highlights and Benefits:
Education Assistance offered
Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater
Competitive wages; including weekend and night differentials
Generous paid time off program
Retirement Savings program with employer match starting on Day 1
Ministry/Facility Information:
MercyOne North Iowa Medical Center provides expert health care to 15 counties.
MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000.
With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region.
MercyOne Medical Group – North Iowa is part of Iowa’s largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.