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Administrative Support

Referral Specialist

Dripping Springs, TX, US
    Position: Referral Specialist
    Talent Area: Administrative Support
    Full/Part Time: Full time
    Location: Dripping Springs, TX, US
    Department: TCP DRIPPING SPRINGS
    Shift: 8am - 5pm
    Job ID: 417325

We are searching for a Referral Specialist at our TCP Dripping Springs Clinic -- 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 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 over 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 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

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.

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