Catholic Health Initiatives Referral Specialist (Centeralized Scheduling - Houston) in HOUSTON, Texas

Referral Specialist (Centeralized Scheduling - Houston)

Description

Job Summary:

The Referral Specialist works with patients requiring a

referral, to ensure patient’s referral needs are fulfilled for specialty

service office visits. Processes referrals, authorizations and pre-certifications

for patients, to ensure timely reimbursement.

Essential Duties:

  • Gather, verify, and process

referrals, authorizations, and pre-certifications by working closely with

physician(s), patients, and payers.

  • Communicate detailed information and answers patients' questions regarding

their health care plan; provide answers to billing and insurance clarification

questions.

  • Set up appointments, coordinate clinic visits, and any special arrangements

such as transportation, interpreter services, specialty care, etc.

  • Coordinate flow of information between medical clinic and referral

authorization department to secure a valid referral for clinic patient.

  • Enter referrals, documents communications and action into the system, as

appropriate.

  • Notify physician(s) and patient when referral is denied, or if additional

information is needed.

  • Develop and maintain database of referral physician offices preferred by each

physician within the clinic.

  • Assist Practice Manager with complaint resolution and solutions related to

patient referrals.

  • Perform other duties as assigned by the practice manager or physician.

Qualifications

Minimum Requirements:

Education and Licensure (requiredand preferred)

  • Highschool diploma or equivalent required.

Experience (required andpreferred)

  • 2years of progressively responsible related experience in a healthcareenvironment required.

Job Administrative/Clerical

Primary Location TEXAS-HOUSTON-ST LUKES ADMIN OFFICES

Daily Schedule Full-Time

Scheduled Hours per 2-week Pay Period 80

Weekends Required Occasional

Req ID: 2018-R0160429

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.