Referral Coordinator

HCA Healthcare, Inc.; Austin (TX); Sur place; USD 42 000 - 62 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Wellbeing support

Time away from work (PTO)

401(k) with match

Education support

Fertility & family building

Résumé du poste

HCA Healthcare, Inc. is seeking a Referral Coordinator to manage clinical and administrative functions within the clinic or practice. The role provides leadership within the practice and supports timely referrals.

You will process physician, hospital, and outpatient referrals, handle patient scheduling, obtain insurance authorizations, and guide on coverage. You will collaborate with diagnostic and surgical services to ensure timely, accurate scheduling.

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.

Responsabilités

• Processes physician, hospital, and outpatient referrals.
• Schedules patients and obtains insurance authorization.
• Collaborates with diagnostic and surgical service areas to schedule tests and procedures.
• Determines insurance eligibility and payor authorizations as needed.
• Enters demographics, referring and certifying physicians in the EMR.
• Communicates appointment and procedure details to patients/families, maintaining HIPAA compliance.
• Performs related duties as required.

Connaissances

Referral coordination

Insurance authorization

EMR data entry

Formation

High School Diploma or GED

Description du poste

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Referral Coordinator

Job Summary and Qualifications

Seeking a Referral Coordinator who manages one or more clinical and administrative functions related to the operations and quality of the clinic or practice. Serves in a leadership role within the practice. Typically functions within a Level 4 or Level 5 Practice.

What you will 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.

Typically functions with practice volume as measurement of 50 or more patients a day

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.

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.

Accurately and consistently communicate appointments, tests, procedure information and prep to patient and/or family members. Adheres to privacy, compliance and HIPPA regulations.

Performs related work as required.

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.

Benefits

Neurology Texas, 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

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

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.