Patient Referral Specialist - Fort Worth TX

HCA Healthcare, Inc.; Fort Worth (TX); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) Plan with company match

Education support

Job summary

HCA Healthcare is seeking a Patient Referral Specialist for Texas Bone & Joint Alliance in Fort Worth, TX. This full-time, day-shift role involves processing referrals, scheduling patients, and obtaining insurance authorization to ensure smooth access to care.

The position emphasizes collaboration with diagnostic and surgical services, accurate data capture in EMR, and adherence to HIPAA and privacy standards. Fort Worth location notes are included.

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.

Responsibilities

• Processes physician, hospital, and outpatient referrals.
• Responsible for patient scheduling and obtaining insurance authorization.
• Provide guidance regarding insurance coverage in accordance with privacy regulations.

Skills

Referral coordination

Insurance authorization

Patient scheduling

HIPAA compliance

Education

High School Diploma or GED

Tools

EMR software

Scheduling software

Job description

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Patient Referral Specialist with Texas Bone & Joint Alliance you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

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

Location:8800 Medical City Way, Fort Worth, TX 76177

Seeking aPatient Referral Specialistfor our practice who processes physician, hospital, and outpatient referrals. Responsible for patient scheduling, obtaining insurance authorization, and providingappropriate guidanceregardinginsurance coverage. Essential duties and responsibilities are as follows. Other duties may be assigned.

What will you do in this role:

Processes physician, hospital, and outpatient referrals. Responsible for patient scheduling, obtaining insurance authorization, and providingappropriate guidanceregardinginsurance coverage. Essential duties and responsibilities are as follows. Other duties may be assigned.

Works collaboratively with all diagnostic and surgical service areas, physicianofficesand hospitals to ensure timeliness,accuracyand completeness when scheduling patient appointments,testsand procedures.

Consistently providesaccurateand detailed patient information to include patient demographics and medical information pertinent toappointmentsbeing scheduled to ensure patient safety and quality patient care.

Determineinsurance eligibility and authorization for medical office and/or surgicalvisits;orworkwith authorization coordinator to ensure all payor authorizations have been received.

Initiate EMR by entering demographics,referringand 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.

Obtainsaccurateand valid physician or advanced practitioner orders for all appointments, tests and proceduresscheduled.

Accurately and consistently communicates appointment, test, procedure information and prep to patient and/or family member. Adheres to privacy,compliance,and HIPPA regulations.

Ensurethe patienthasa follow-up appointment with the physician to discuss outcomes, asappropriate.

Consistently and accurately document the date and time of appointment, tests,scanor procedure in the patient's medical record.Communicate asappropriate topractice staff andensurethe referral process is completed and closed.

Outgoing referralssubmittedthe sameday, preferably withpatientspresent to obtain theoptimalappointment.

Weekly reporting to practice leadership on referral volume, referral status, and follow up on outstanding appointments.

Performs related work asrequired.

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, insuranceauthorizations, and out of network proceduresrequired

CERTIFICATION/LICENSE:

Nonerequired

Benefits

Texas Bone & Joint Alliance, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor 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.

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. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance 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 costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you!

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.