Referral Clerk - The Centers for Women & Children, Southwest Location

 
Position: Referral Clerk - The Centers for Women & Children, Southwest Location

Job ID: 155676

Location: US-TX-Houston

Department: TCHPC - SOUTHWEST SHARED SERV

Talent Area: Clerical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

Founded in 2013 by Texas Children's Health Plan, The Center for Children and Women is a NCQA recognized patient and family-centered medical home that provides enrolled Texas Children's Health Plan members the highest quality community-based health care, education, and advocacy. We have two locations at Greenspoint and Southwest Houston.   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 :

Job Duties:

  • 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:

Requirements:

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


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