Do you want to join an organization that invests in you as a(an) Patient Referral Specialist? At North Texas Cardiovascular Surgery, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no on-call, no weekends, no holidays Seeking a Patient Referral Specialist for our practice who 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. We want you to apply now! What will you do in this role: Previous experience in surgical scheduling, or insurance authorizationKnowledge of medical terminology, CPT/ICD- 10 coding, and surgical procedures preferredExperience obtaining prior authorizations and verifying insurance benefits Familiarity with commercial insurance, Medicare, Medicaid, and managed care plansMust have strong organizational skillsThese positions will be housed at 6901 Davis Blvd, North Richland Hills, TX 76182Works 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 appointments being scheduled to ensure patient safety and quality patient care. Determine insurance eligibility and authorization for medical office and/or surgical visits; or work 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 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 the patient has a 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 ensure the referral process is completed and closed. Outgoing referrals submitted the same day, preferably with patients 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. What Qualifications you will need: 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 Benefits North Texas Cardiovascular Surgery, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine servicesWellbeing support, including free counseling and referral servicesTime away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absenceSavings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counselingEducation support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of NursingAdditional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discountsLearn more about Employee Benefits Note: Eligibility for benefits may vary by location.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 Worlds 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. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Referral Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!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. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer.
HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities.
And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.