Referral Clerk

 
Position: Referral Clerk

Job ID: 153486

Location: US-TX-Houston

Department: TCHPC - SOUTHWEST SHARED SERV

Talent Area: Clerical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: M-F: 8a - 5p

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Summary:

We are searching for a Referral Clerk -- someone who works well in a fast-paced setting. In this position, you will coordinate the referral process.

Think you’ve got what it takes?



Responsibilities :

  • Coordinates with Care Team (specifically Care Coordinators, Triage Nurses and Patient Navigators) to make specialty referrals and communicates to patient/family and Care Team accordingly
  • Assesses patient’s eligibility for referral by verifying coverage with payor prior to initiating referral
  • Initiates and processes referral
  • Assists patients, per practice protocol who have emergencies or have self-referred without prior authorization
  • Documents referral process
  • Maintains referral log, including documentation that patient with referring physician was notified, with 90% accuracy
  • Demonstrates commitment to team, flexibility, professional interpersonal, communication, critical thinking, and customer service skills
  • Demonstrates the ability to problem solve, identifies appropriate resources, adapt to ongoing change, and handle conflict management with a professional and supportive attitude


Qualifications:

  • High school diploma or equivalent required
  • Two years’ experience preferred
  • HOU123


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