Patient Referral Specialist - Keller TX

About the role

Join an organization that invests in you as a Patient Referral Specialist. Texas Bone & Joint Alliance, part of HCA Healthcare, has committed up to $300 million in programs to support team members over three years.

Responsibilities

• Processes physician, hospital, and outpatient referrals.
• Responsible for patient scheduling, obtaining insurance authorization, and providing appropriate guidance regarding insurance coverage.
• 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 appointments being scheduled to ensure patient safety and quality patient care.
• Determine insurance eligibility and authorization for medical office and/or surgical visits; or work 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.
• Accurately and consistently communicate appointment, test, procedure information and prep to patient and/or family member.
• Adhere to privacy, compliance, and HIPAA regulations.
• Ensure the patient has a follow-up appointment with the physician to discuss outcomes, as appropriate.
• Accurately and consistently document the date and time of appointment, tests, scan or procedure in the patient's medical record.
• Communicate as appropriate to practice staff and ensure the referral process is completed and closed.
• Outgoing referrals submitted the same day, preferably with patients present to obtain the optimal appointment.
• Weekly reporting to practice leadership on referral volume, referral status, and follow up on outstanding appointments.

Qualifications

• High School Diploma or GED equivalent.
• One year of experience in referral coordination relating to insurance provider tier levels, insurance authorizations, and out of network procedures required.

Benefits

Texas Bone & Joint Alliance offers a comprehensive benefits package that includes:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling.
• Support for education and training, including tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing.

Company Information

HCA Healthcare is a leading healthcare company that supports the health, life, career, and retirement of its colleagues. It has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute multiple times. HCA Healthcare spends an estimated $3.7 billion annually on costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are a family of 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.