Referral Specialist - UnityPoint Health

Referral Specialist

Full Time Benefits

Monday-Thursday; 8:00am-4:30pm

The role of the Referral Specialist is to coordinate all patient referrals at the request of the providers, obtain/review pre-authorization/pre-certification, and coordinate communications with physician offices, companies, third-party payers and case managers; documenting appropriately within the medical record.  The Referral Specialist will ensure appropriate appointments and follow-up appointments in the department following referral requests/visits and ensure documentation from specialists/offices is obtained, filed in the chart and forwarded to companies/payers as appropriate.  The Referral Specialist will perform patient registration tasks and procedures as requested as well as assist in the clinical area as trained and requested.

Why UnityPoint Health? 

• Commitment to our Team –For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcarefor our commitment to our team members. 
• Culture – At UnityPoint Health, you matter.Come for a fulfilling career and experience a cultureguided by uncompromising values and unwavering belief in doing what's right for the people we serve. 
• Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. 
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. 
• Development – We believe equipping you with support and development opportunitiesis an essential part of delivering a remarkable employment experience. 
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve. 

Visit https://dayinthelife.unitypoint.org/ to hear more from our team members about why UnityPoint Health is a great place to work. 

Clerical/Administrative

·         Initiates all referral requests within 24 hours on business days documenting all stages of the referral process within all EMR programs and communicating to the appropriate people regarding injury case.

·         Coordinate and schedule specialist exams within clinic.

·         Obtain and/or documents approvals from the Third-Party Payers for payment for services as directed or indicated via protocols.

·         Meet with referring physician offices periodically to communicate any clinic updates.

·         Track and monitor referring physicians and referral patterns. 

·         Perform patient service rep activities as directed.

·         Register patients as needed.

·         Answer patient phone calls regarding scheduling and billing.

·         Assist in scheduling of office staff to facilitate appropriate staffing levels based on patient volume.

Requirements

Education: 

Health Care Related Coursework. 

Experience:

1-3 Years of Experience in Clinical Office Setting.

Preferred

Education: 

Medical Assistant or Certified Medical Assistant

Clerical specialist or experience as a Referral Specialist in a clinic setting will be considered in lieu of required education. 

Experience:

3 Years of Clinical Office Experience