Patient Referral Specialist: Scheduling Insurance Navigator

HCA Healthcare, Inc.; Plano (TX); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with match

Tuition assistance

Job summary

HCA Healthcare is seeking a Patient Referral Specialist in Plano, TX. This full-time, weekday role focuses on processing physician, hospital, and outpatient referrals, scheduling patients, and obtaining insurance authorizations.

You will work with EMR systems, ensure accurate patient data, and maintain compliance with privacy regulations. Responsibilities include coordinating across diagnostic and surgical service areas, communicating prep instructions to patients, confirming eligibility, and

Qualifications

• High School Diploma or GED equivalent required.
• One year of experience in referral coordination relating to insurance provider tier levels, insurance authorizations, and out of network procedures.
• No certification required.

Responsibilities

• Processes physician, hospital, and outpatient referrals and schedules patient appointments.
• Obtains insurance authorization and determines eligibility for medical visits and procedures.
• Enter demographics and referral information into EMR; ensure timely and accurate data.
• Communicate appointment details and prep instructions to patients and families with HIPAA compliance.
• Collaborate with offices, hospitals, and managed care to coordinate referrals and follow ups.
• Provide weekly referral volume reporting to practice leadership.

Job description

HCA Healthcare is seeking a Patient Referral Specialist in Plano, TX. This full-time, weekday role focuses on processing physician, hospital, and outpatient referrals, scheduling patients, and obtaining insurance authorizations.

You will work with EMR systems, ensure accurate patient data, and maintain compliance with privacy regulations. Responsibilities include coordinating across diagnostic and surgical service areas, communicating prep instructions to patients, confirming eligibility, and