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CommonSpirit Health Referral Specialist in Ankeny, Iowa

Referral Specialist

MercyOneAnkeny, Iowa

Requisition ID 2021-196450 Employment Type Part Time Department Family Practice Clinic Hours/Pay Period 40 Shift Day Standard Hours Monday-Friday 8:00am-5:00pm Remote No

Overview

MercyOne Central Iowa operates four not-for-profit, Catholic medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals – MercyOne Children’s Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) – along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state, with more than 7,000 employees and a medical staff of more than 1,000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne, which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health – two of the country’s foremost, not-for-profit Catholic health organizations. MercyOne has more than 20,000 colleagues in Iowa and surrounding states.

Responsibilities

Are you patient centered and thrive on providing top notch customer service? Consider joining the Briarwood team as a Referral Specialist. This person works withpatients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits.

What You’ll Do:

  • Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.

  • Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.

  • Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.

  • Coordinate flow of information between medical clinic and referral authorization department to 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.

MercyOne Des Moines provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

  • Health/Dental/Vision Insurance

  • Flexible spending accounts

  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

  • Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults

  • Employee Assistance Program (EAP) for you and your family

  • Paid Time Off (PTO)

  • Tuition Assistance for career growth and development

  • Matching 401(k) and 457(b) Retirement Programs

  • Wellness Program

We invite you to join MercyOne Des Moines today and experience it with us!

Qualifications

  • High school diploma or equivalent required.

  • 2 years of progressively responsible related experience in a healthcare environment required

Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to

a diverse and inclusive workforce. All qualified applicants will be considered for

employment without regard to race, color, religion, sex, sexual orientation, gender

identity, national origin, age, disability, marital status, parental status,

ancestry, veteran status, genetic information, or any other characteristic protected

by law. For more information about your EEO rights as an applicant,

pleaseclick here. (https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOLawPoster.pdf)

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health™ participates in E-Verify.

Equal Opportunity CommonSpirit Health™ is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

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