Patient Referral Specialist

Patient Referral Specialist

Do you want to join an organization that invests in you as a Patient Referral Specialist? At Texas Joint Institute, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Texas Joint Institute offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include : comprehensive medical coverage, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing, 401(k) Plan with a 100% match on 3% to 9% of pay, Employee Stock Purchase Plan with 10% off HCA Healthcare stock, family support through fertility and family building benefits, referral services for child, elder and pet care, consumer discounts, retirement readiness, education assistance, colleague recognition program, time away from work program, employee health assistance fund. Note : Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Referral Specialist like you to be a part of our team.

Job Summary and Qualifications

LAWSON TITLE : Patient Referral Specialist

GENERAL SUMMARY OF DUTIES : Processes physician, hospital, and outpatient referrals. Responsible for patient scheduling, obtaining insurance authorization, and providing appropriate guidance regarding insurance coverage. Essential duties and responsibilities are as follows. Other duties may be assigned.

SUPERVISOR : Practice Manager

PRACTICE REQUIREMENTS : Position eligible to be utilized in practices who see >

50 patients daily

DUTIES INCLUDE BUT NOT LIMITED TO :

• Works collaboratively with all diagnostic and surgical service areas, physician offices and hospitals to ensure timeliness, accuracy and completeness when scheduling patient appointments, tests and procedures.
• Consistently provides accurate and detailed patient information to include patient demographics and medical information pertinent to appointment being scheduled to ensure patient safety and quality patient care.
• Determine insurance eligibility and authorization for medical office and / or surgical visits; or works with authorization coordinator to ensure all payor authorizations have been received.
• Initiate EMR by entering demographics, referring and certifying physicians, and family information; obtaining needed medical records from referring providers.
• Establish rapport with all offices, hospital personnel, and managed care representatives.
• Utilize EMR or other designated programs to capture and track referrals.
• Obtains accurate and valid physician or advanced practitioner orders for all appointments, tests and procedures being scheduled.
• Accurately and consistently communicates appointment, test, procedure information and prep to patient and / or family member. Adheres to privacy, compliance and HIPPA regulations.
• Ensure patient has follow-up appointment with the physician to discuss outcomes, as appropriate.
• Consistently and accurately document the date and time of appointment, tests, scan or procedure in the patient's medical record. Communicate as appropriate to practice staff and ensures the referral process is completed and closed.
• Outgoing referrals submitted same day, preferably with patient present to obtain the optimal appointment.
• Weekly reporting to practice leadership on referral volume, referral status, and follow up on outstanding appointments.
• Performs related work as required.
• Practice and adhere to the Code of Conduct and Mission and Value Statements.

EDUCATION : High School Diploma or GED equivalent

EXPERIENCE : One year of experience in referral coordination relating to insurance provider tier levels, insurance authorizations, and out of network procedures required

CERTIFICATION / LICENSE : None required

KNOWLEDGE, SKILLS AND ABILITIES :

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Referral Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.