Patient Referral Specialist

HCA Healthcare, Inc.; Dallas (TX); Remote; USD 42.000 - 54.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision plans

Behavioral health and telemedicine

401(k) plan with match

Employee Stock Purchase Plan

Tuition assistance

Zusammenfassung

HCA Healthcare, Inc. is seeking a Referral Coordinator to manage physician, hospital, and outpatient referrals and to handle scheduling, insurance verification, and patient guidance on coverage.

You will work with diagnostic and surgical teams to ensure timely appointments and accurate information for each patient visit. The role requires at least 1 year of referral coordination experience, proficiency with EMR systems, and strong communication skills to maintain patient privacy and compliant

Qualifikationen

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

Aufgaben

• Process referrals and scheduling for physician, hospital, and outpatient services.
• Coordinate insurance authorization and provide guidance on coverage.
• Collaborate with offices and hospitals to ensure timely, accurate appointments and tests.
• Verify insurance eligibility and obtain necessary payor approvals.
• Enter demographics and physician information in EMR; obtain medical records.

Kenntnisse

Referral coordination

Insurance verification

EMR systems

Patient communication

Privacy/compliance (HIPAA)

Staff collaboration

Ausbildung

High School Diploma or GED equivalent

Tools

EMR software

Jobbeschreibung

Job Summary And Qualifications

Full time (Monday - Friday, days), no nights, no on-call, no weekends, no holidays

What will you do in this role:

• 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.
• 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.
• Obtains accurate and valid physician or advanced practitioner orders for all appointments, tests and procedures 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 the patient has a 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 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.
• Performs related work as required.
• Practice and adhere to the Code of Conduct and Mission, and Value Statements.

What Qualifications you will need:

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

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

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 cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

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.