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Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Patient Referral Specialist with MSO NTX Heart Surg Cntr Dallas you can be a part of an organization that is devoted to giving back!

Benefits

MSO NTX Heart Surg Cntr Dallas offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the MSO NTX Heart Surg Cntr Dallas family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Patient Referral Specialist to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

TITLE: Patient Referral Specialist

LOB: Campus–PHY

GENERALSUMMARYOFDUTIES:

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.

SUPERVISOR: Practice Manager

PRACTICE REQUIREMENTS: Position eligible to be utilized in practices who see>50 patients daily

DUTIES INCLUDE BUT NOT LIMITED TO:

+ 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 appointment being scheduled to ensure patient safety and quality patient care.

+ Determine insurance eligibility and authorization for medical office and/or surgical visits; or works 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 being 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 patient has 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 ensures the referral process is completed and closed.

+ Outgoing referrals submitted same day, preferably with patient 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.

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**

KNOWLEDGE,SKILLS ANDABILITIES:

+ Knowledge of medical terminology.

+ Knowledge of common safety hazards and precautions to establish a safe work environment.

+ Establishing and maintaining effective working relationships with patients, medical staff and the public.

+ Must have good interpersonal skills.

+ Ability to communicate effectively both verbally and in writing, and keep a positive attitude with patients, peers, providers, employers, insurers, and family members.

+ Must be flexible and able to handle multiple tasks

+ Word processing and Excel experience preferred.

+ Good organizational skills

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 reviewing applications for our Patient Referral Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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.