Referral Specialist - TCP Nanes (Houston, TX 77090)

 
Position: Referral Specialist - TCP Nanes (Houston, TX 77090)

Job ID: 147500

Location: US-TX-Houston

Department: TCP NANES

Talent Area: Clerical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Texas Children’s Pediatrics is the nation’s largest primary pediatric care network with more than 200 physicians dedicated to the health care needs of infants to teenagers in nearly 50 locations throughout the greater Houston area. As part of our goal to build a community of healthy children, Texas Children's Pediatrics Community Cares Program provides trusted, high-quality pediatric medical services for children who otherwise would seek care from emergency centers or possibly go without care or treatment due to low family incomes and/or lack of health insurance.      To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   

Summary:

We are searching for a Referral Clerk—someone who works well in a fast-paced primary care setting. In this position you’ll coordinate the referral process for Texas Children’s Pediatrics Associates. We need someone who can provide excellent customer service and has knowledge of medical terminology.

Think you’ve got what it takes?



Responsibilities :

  • Verifies patient eligibility
  • Documents eligibility in patient medical record Assesses patient’s eligibility for referral by verifying coverage with payor prior to initiating referral
  • Identifies and documents network providers for appropriate referral
  • Initiates and processes referral
  • Completes paperwork and documentation for authorized referral
  • Transmits information to referred agency
  • Assists patients, per practice protocol, in setting appointments for referred services
  • Assists patients, per practice protocol who have emergencies or have self-referred without prior authorization
  • Documents referral process


Qualifications:

  • High School Diploma, GED or equivalent
  • Knowledge of general office tasks, confidentiality, medical terminology, CPT coding and managed care referral process
  • Knowledge of related OSHA and JCAHO guidelines and requirements
  • Ability to provide excellent customer service, to act in a professional manner, to type, to file, to use a multi-line telephone, computer, fax, copier and adding machine


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