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CommonSpirit Health Referral Specialist in DES MOINES, Iowa

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

  • 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.

  • 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.

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Join one of our Talent Communities (https://careers-commonspirit.icims.com/connect?back=intro&in_iframe=1&hashed=-435626305) to learn more about a career at CommonSpirit Health and experience #humankindness.

CommonSpirit Health participates in E-verify.

Requisition ID 2021-151228

Employment Type Full Time

Department General & Administrative

Hours / Pay Period 80

Shift Day

Standard Hours Monday - Friday 8am-5pm

Facility / Process Level : Name MercyOne Des Moines Medical Center

Location IA-DES MOINES

Equal Opportunity CommonSpirit Healthâ„¢ 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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