Referral Specialist | DIS

## **Referral Specialist - Diagnostic Imaging Services** **Schedule:** Full-Time | Monday-Friday, 8:00 AM-4:30 PM **Location:** Diagnostic Imaging Services, Meritus Health ### **Position Summary** Under the general direction of the Practice Supervisor/Manager, the Referral Specialist serves as a key resource for coordinating authorized patient referrals to specialists, diagnostic procedures, and surgical services. This role ensures timely access to care by securing necessary pre-authorizations and guiding patients to appropriate providers based on insurance requirements. In some units, the Referral Specialist also verifies insurance coverage and benefits to support accurate billing and payment. ### **Key Responsibilities** * Arrange and schedule patient referrals in alignment with insurance guidelines and clinical needs * Obtain pre-authorization approvals for referrals, procedures, and surgeries * Refer patients to authorized providers based on insurance plan requirements * Verify insurance coverage, benefits, deductibles, and referral criteria as needed * Communicate with insurance companies to secure approvals and ensure proper payment * Maintain accurate documentation and follow up on pending authorizations * Collaborate with clinical and administrative teams to support seamless care coordination * Demonstrate professionalism, discretion, and a commitment to patient-centered service ### **Minimum Qualifications** **Education** * High school diploma required; completion of commercial or business coursework preferred **Experience** * Previous experience as a referral specialist preferred **Licensure/Certification** * BLS (CPR) certification preferred, in compliance with Meritus Health policy **Knowledge, Skills, and Abilities** * Strong organizational and communication skills * Ability to manage multiple tasks and prioritize effectively * Familiarity with insurance processes and patient scheduling systems preferred * Commitment to accuracy, confidentiality, and compassionate service **Caring for Our Team ** _We are committed to supporting the well-being and professional development of our team members through a comprehensive benefits package, which includes:_ * **Health, Dental, and Vision Insurance** Coverage begins on the **first of the month following your hire date**. * **Life Insurance & Disability Coverage** Includes **company-paid life insurance** , as well as **short- and long-term disability** benefits to provide peace of mind. * **Paid Time Off (PTO)** A generous **PTO program** designed to help you recharge and maintain a healthy work-life balance. * **401(k) Retirement Plan** Benefit from a **robust company match** to support your long-term financial goals. * **Education Assistance & Tuition Reimbursement** Support for your **continued learning and career growth**. * **Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)** Options to save **pre-tax dollars** for eligible healthcare and dependent care expenses. * **Shift Differential Pay** Team members working **evening, night, or weekend shifts** may be eligible for additional pay. **Happy to Help** At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help.