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.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.