Referral Specialist – Heart & Vascular Specialists Clinic – Full-time, Days

#REF!•Dallas, TX

22h•Hybrid

About The Position

The Referral Specialist will initiate and manage all components of clinical referrals for various services. This role involves setting up appointments and special arrangements such as transportation and interpreter services. The specialist will also verify insurance coverage and obtain authorizations, acting as a liaison between hospitals, physicians, health plans, vendors, and patients. They will coordinate the flow of information to secure valid referrals and maintain a database of preferred referral physician offices. Additionally, the Referral Specialist will assist the Practice Manager with complaint resolution related to patient referrals and document all actions in the system.

Requirements

High School Diploma or equivalent (required)
2 years related experience in Healthcare environment (strongly preferred)
Will be required to help with other Front Desk duties as needed
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

Nice To Haves

Bilingual in English and Spanish / Korean / or Arabic (preferred)

Responsibilities

Delivers care to patients utilizing the Referral Specialist Process
Initiates and manages 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.