Referral Specialist –Digestive Specialists – Full-Time, Days

Texas Health Resources•Carrollton, TX

20h•Onsite

About The Position

The Referral Specialist will deliver care to patients utilizing the Referral Specialist Process. This role involves initiating and managing all components of clinical referrals for various services, setting up appointments, and making special arrangements such as transportation or interpreter services. The specialist will also verify insurance coverage, obtain authorizations, and act as a liaison between hospitals, physicians, health plans, vendors, and patients or referral sources. Additionally, they will coordinate the flow of information between the medical clinic and the referral authorization department, develop and maintain a database of referral physician offices, assist the Practice Manager with complaint resolution related to patient referrals, and enter referrals, documents, communications, and actions into the system.

Requirements

High School Diploma or equivalent (REQUIRED)
Have strong customer skills
Have good communication skills
Possess a strong work ethic and a high level of professionalism
Be a team player who handles multiple projects simultaneously in a fast-paced environment and communicates effectively with both clinical and administrative staff to ensure patients receive timely, accurate referrals.

Nice To Haves

Bilingual - English and Spanish (PREFERRED)
Two years of Related experience in a healthcare environment (PREFERRED)

Responsibilities

Delivers care to patients utilizing the Referral Specialist Process
Will initiate and manage all components of clinical referrals for various services.
Sets up appointments and any special arrangements such as transportation, interpreter services, etc.
Verifies insurance coverage and obtains authorizations, if needed, from insurance providers.
Acts as liaison between hospitals, physicians, health plans, vendors and patients or referral sources.
Coordinates flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
Develops and maintains database of referral physician offices preferred by each physician within the clinic.
Assists Practice Manager with complaint resolution and solutions related to patient referrals.
Enters referrals, documents, communications, and actions in system.