Trinity Health • Clive, IA 50325
Job #2696472565
Employment Type:
Full time
Shift:
Description:
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.
What you'll do:
Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with
physician(s), patients, and payers.
plan; provide answers to billing and insurance clarification questions.
transportation, interpreter services, specialty care, etc.
secure a valid referral for clinic patient.
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 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.
Benefits Start Day One!
Medical Insurance with the option for Flexible Spending Accounts
Dental Insurance
Vision Insurance
Basic Life and AD&D Insurance
Supplemental Life Insurance
Supplemental AD&D Insurance
Dependent Life Insurance
Short and Long-Term Disability/ Income Protection
Time Off - regularly accrued PTO for full-time team members, 6 paid holidays, and additional personal days!
Voluntary Benefits through Farmington
Accident Insurance
Auto/Home insurance
Critical Illness Insurance
Hospital Indemnity Insurance
Identity/Theft Insurance
Legal Services
Pet Insurance
Permanent Life Insurance
Well-Being Resources
Adoption Assistance
Colleague Discounts through Perkspot
Six free therapy sessions/coaching sessions per calendar year for Colleague and household members through Spring Health
Student Loan Relief Services
Tuition Reimbursement
Weight Management Reimbursement Benefit
Commuter Benefits
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.
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
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