Referral Specialist - TCP Dripping Springs

We are searching for a Referral Specialist -- someone who works well in a fast-paced setting. This position will coordinate the referral process and work collectively with other members of the healthcare team.

Think you’ve got what it takes?

Job Duties & Responsibilities

Initiates and processes referral. Completes paperwork and documentation for authorized referrals within two (2) business days. Enters referrals into electronic health record within two (2) business days of receiving request from provider. 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. Receives less than three (3) customer service complaints during evaluation period. Tasks are measured by review of referral log and the electronic health record.  

Verifies patient eligibility. Assesses patient’s eligibility for referral by verifying coverage with payer prior to initiating referral. Documents eligibility in the electronic health record per practice protocol. Identifies and documents network providers for appropriate referral. Notifies provider when no provider in network is available. Tasks are measured by reviewing referral documentation in the electronic health record and feedback from providers.  

Documents referral process. Maintains referral log, in the electronic health record, including documentation that patient was notified with 90% accuracy. Assures reports from referral sources are received, reviewed by provider and scanned according to practice protocol. Tasks are measured by review of referral log and the electronic health record.  

Demonstrates Creating SMILES and AIDET philosophies to patients, families, and co-workers. Acknowledges the customer. Introduce self. Gives customer a time expectation. Keeps customers informed by explaining all tasks, processes, and procedures. Thanks, customer. Adheres to Standards of Behavior. Tasks are measured by observation of evaluator.

Skills & Requirements  

Required H.S. Diploma or GED

Required 1 year healthcare experience 

About Texas Children’s

Texas Children’s presence in Austin helps support a pediatric population of more than half a million and keeps kids healthy and happy from birth to adulthood. Texas Children’s first health care location in Austin, Texas Children’s Urgent Care West Gate, opened in March 2018, providing high quality pediatric-focused care after hours and on weekends. There are now more than 15 Texas Children’s Pediatric primary care practices in the greater Austin area providing full-service family care including routine childhood immunizations, well visits, and sick care. Our Specialty Care Center in Austin includes a multidisciplinary group of pediatric specialists committed to providing comprehensive care across a wide spectrum of services. Texas Children’s Hospital North Austin, is our new state-of-the-art facility providing world-class pediatric and maternal care to Austin families.

To join our community of more than 15,000 dedicated team members, visit texaschildrenspeople.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.