Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.

CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.

CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.

CHI Minot Clinic is looking for a Full Time Referral Specialist to join the team!

The Referral Specialist works with patients requiring a referral, to ensure patients 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:

1. Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
2. Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
3. Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
4. Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
5. Enter referrals, documents communications and action into the system, as appropriate.
6. Notify physician(s) and patient when referral is denied, or if additional information is needed.
7. Develop and maintain database of referral physician offices preferred by each physician within the clinic.
8. Assist Practice Manager with complaint resolution and solutions related to patient referrals.
9. Perform other duties as assigned by the practice manager or physician.

High school diploma or equivalent required.

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