Surgery Patient Referral Coordinator

Texas Tech University - Health Sciences Center; Odessa (TX); Sur place; USD 25 000 - 29 000; Plein temps

Avantages offerts par ce poste

Health plans

Paid time off

Retirement plans

Wellness programs

Mother-friendly workplace

Résumé du poste

Texas Tech University Health Sciences Center in Odessa, TX seeks a full-time referrals coordinator to ensure timely processing of patient referrals between insurance providers and clinicians.

The role involves gathering patient demographics, obtaining prior authorizations, and communicating with patients and providers throughout the referral process; experience with EMR systems and health insurance is preferred.

Qualifications

• Associate degree plus one year of experience directly related to the processing of patient referrals.
• OR High school diploma or GED plus three (3) years of experience working as a Certified Medical Assistant.
• OR High school diploma or GED plus five (5) years of experience directly related to patient registration, patient scheduling, patient billing/collections, the processing of prior authorizations, and/or the processing of patient referrals.

Responsabilités

• Tracking and documentation of patients referrals to promote team awareness and ensure patient safety.
• Assemble patient demographics, insurance/payer and health data.
• Insurance/payer prior authorization.
• Provide patient and family communication, navigation, and advocacy through the referral process.
• Establish and maintain communication and relationships with identified service providers and community services.
• Update patient records with demographics, insurance and information on specialist consults, hospitalizations, ER visits and community organizations related to their health.

Connaissances

Patient referrals processing

Insurance coordination

Communication with providers

Formation

Associate degree + 1 year related experience

High school diploma or GED + 3 years CMA experience

High school diploma or GED + 5 years related experience

Outils

EMR systems

Insurance coordination tools

Description du poste

Introduction

Nationally recognized as a Great College to Work For ,TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave,retirement plans, wellness programs, health insurance and so muchmore. Ready to start building a rewarding career in a positiveenvironment where you can develop and thrive? Join us as wechange the future of health care.

About TTUHSC

Texas Tech University Health Sciences Center is enriching the livesof others by educating students, providing excellent patient care,and advancing knowledge through innovative research. TTUHSCgraduates more health care professionals than any other health careinstitution in the state, conferring 24.2% of all degrees andcertificates awarded from health-related institutions in Texas. Byproviding comprehensive clinical services to more than 10 millionindividuals across 121 counties, TTUHSC is dedicated to advancingthe health of people throughout Texas and beyond. This is whereworld-class education meets compassionate patient care – and webelieve that our people are the reason for our institution’slasting success and bright future.

Being part of the TTUHSC team means being part of an innovative andsupportive community that empowers each individual to do their bestwork. Through our values-based culture , TTUHSC iscommitted to cultivating an exceptional workplace community with apositive culture that puts people first.

Visa Information

TTUHSC, at its sole discretion, may initiate new H-1B I-129 visapetitions in accordance with the directive issued by GovernorAbbott. Approval from the Texas Workforce Commission is required.On a limited, case-by-case basis, the institution may also sponsoreligible individuals for change-of-status or change-of-employerpetitions for qualifying positions. TTUHSC will not pay the$100,000 fee, if applicable.

Position Description

Serve as a liaison between insurance and health care providers toensure the timely coordination, and accurate processing, of patientreferrals required for medical specialty visits.

Major/Essential Functions

• Tracking and documentation of patients referrals to promoteteam awareness and ensure patient safety.
• Assemble patient demographics, insurance/payer adn healthdata.
• Insurance/payer prior authorization.
• Provide patient and family communication, navigation, andadvocacy through the referral process.
• Establish and maintain communication and relationships withidentified service providers and community services.
• Update patient records with demographics, insurance andinformation on specialist consults, hospitalizations, ER visits andcommunity organizations related to thier health.

Required Qualifications

• Associate degree plus one (1) year of experience directlyrelated to the processing of patient referrals;
• OR High school diploma or GED plus three (3) years ofexperience working as a Certified Medical Assistant;
• OR High school diploma or GED plus five (5) years of experiencedirectly related to patient registration, patient scheduling,patient billing/collections, the processing of priorauthorizations, and/or the processing of patient referrals.

Preferred Qualifications

Previous experience in a clinical environment.

Previous experience with EMR systems

Previous experience with insurance companies in a healthcaresetting

Bilingual: English/Spanish

Required Attachments

Resume / CV

Optional Attachments

Recommendation/Referral

Benefits

TTUHSC is committed to creating an environment where our teammembers can do their best work, with programs and benefits to support head-to-toe well-being.Explore just a few of the advantages of being a TTUHSC team member:

• Health Plans + Supplemental Coverage Options –Individual health insurance provided at no cost for full-time teammembers
• Paid Time Off – Including holidays, vacation, sick leaveand more
• Retirement Plans
• Wellness Programs
• Certified Mother-Friendly Workplace

Additionally, TTUHSC invests in the success of our team members byproviding opportunities for personal and professional growth,including lifelong learning programs, recognition programs, andhealth and wellness initiatives. Team members also enjoy a varietyof other perks, such as special membership rates at local gyms andgolf courses, access to state-of-the-art software and facilities,and discounts on travel, technology, entertainment and more.

Job Type

Full Time

Pay Basis

Hourly

Pay Grade Minimum

18.00

Pay Grade Maximum

21.00

Pay Statement

Compensation is commensurate upon the qualifications of theindividual selected and budgetary guidelines of the hiringdepartment, as well as the institutional pay plan. For additionalinformation, please reference the institutional pay plan website at https://app4.ttuhsc.edu/payplan .

Grant Funded?

No

Travel Required

Up to 25%

Shift

Day

Does this position work in a research laboratory?

No

EEO Statement

All qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sex, national origin, age,disability, genetic information or status as a protectedveteran.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and CampusCrime Statistics Act is a federal statute requiring colleges anduniversities participating in federal financial aid programs tomaintain and disclose campus crime statistics and securityinformation. By October 1 of each year, institutions must publishand distribute their Annual Campus Security Policy & CrimeStatistics Report (ASR) to current and prospective students andemployees. To view this report, visit the TTUHSC Clery Act websiteat https://www.ttuhsc.edu/compliance/clery-report.aspx .