Referral Specialist jobs in Galveston, TX

Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Patient Access Specialist - Ambulatory Referral
  • UTMB Health Careers
  • Galveston, TX FULL_TIME
  •  

    Minimum Qualifications

    Bachelor’s degree or equivalent

    (High School or equivalent and two years customer service and/or clerical experience)

     

    Job Summary

    Represents the voice of UTMB. Creates a nurturing, competent and confident voice atmosphere for all callers to the Access Center. Is skillful in determining the callers need while maintaining a seamless atmosphere for the caller regardless of the need to navigate through multiple functions and departments.

     

    Essential Job Functions

     

    ·         Provides high level customer service skills for 24/7, 365 days a year Call Center.

    ·         Answers high volume of calls while multi-tasking with available resources to schedule appointments and assist callers with their specific needs.

    ·         Promotes positive and professional communication

    ·         Provides a professional and empathetic voice to the callers to nurture their needs

    ·         Analyzes caller concerns and determines best course of action to resolve and address their concern.

    ·         Gateway to appointment scheduling for large numbers of UTMB clinics.

    ·         Efficiently communicates callers request and determines the best solution.

    ·         Able to cancel and reschedule based on patients’ needs and clinic guidelines

    ·         Escalates patient concerns and issues-utilizing defined processes

    ·         Able to preregister patients as required; obtains patient demographics and insurance information and updates as required to ensure most accurate information is on file

    ·         Works with Access center nursing staff to quickly identify and resolve urgent patient issues.

    ·         Listens to and re-emphasizes caller concerns, ensuring accurate triages and effective communications.

    ·         Facilitates physician consultation requests and assists with patient referrals when appropriate.

    ·         Is knowledgeable and proficient in the use of AMCOM, EPIC, Invision, CECC and other software applications used to store and manage patient information and facilitate patient care.

    ·         Utilizes several media applications in unison to resolve caller concerns and understands the purpose and proper use of each system

    ·         Enforces UTMB regulations and guidelines when utilizing the systems

    ·         Is knowledgeable of the entire institution, all clinical departments and resources, Locations, contact information, Scheduling guidelines, Personnel resources, Area specific guidelines, Age specific guidelines, Disease process specific guidelines and Basic guidelines related to consumer health plans.

    ·         Is knowledgeable and proficient in the scheduling process for all clinic areas

    ·         Understands the procedures for each clinic and educates the caller

    ·         Skilled at utilizing software applications for making appointments

    ·         Utilizes critical thinking to determine call priority to support nursing intervention

    ·         Enhances customer confidence by expediting callers concerns to appropriate individuals

    ·         Crucial to the facilitation of the consumer online appointment request system

     

    Salary Range

    Actual salary commensurate with experience.

     

     

    Equal Employment Opportunity

    UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

    Compensation
  • 3 Days Ago

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Senior Medical Assistant - Primary Care (League City) $1,000 Employee Referral Bonus
  • Houston Methodist
  • League, TX FULL_TIME
  • OverviewAt Houston Methodist, the Senior Medical Assistant Certified (Sr. MA) position is responsible for functioning as an expert and demonstrates highly competent knowledge in the more technical and...
  • 1 Day Ago

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To Go Specialist
  • Olive Garden
  • Alvin, TX OTHER
  • For this position, pay will be variable by location - See additional job details and benefits below.Our Winning Family Starts With You! Check out these great benefits!Flexible schedules to help you ba...
  • 10 Days Ago

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Operation specialist
  • Petco
  • Jackson, TX FULL_TIME
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbei...
  • 11 Days Ago

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TO-GO Specialist
  • NGE
  • Jackson, TX FULL_TIME
  • NGE Texas is an American multi-brand restaurant (IHOP) operator headquartered in Texas. You contribute to our success by creating this exceptional experience for your team, customers and the community...
  • 14 Days Ago

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Benefits Specialist
  • Galveston County
  • Galveston, TX FULL_TIME
  • The purpose of this class is to coordinate and support the daily administration of the County’s various employee benefit plans which include health insurance, retirement, wellness, COBRA, FMLA and EAP...
  • 1 Day Ago

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0 Referral Specialist jobs found in Galveston, TX area

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Doughnut Specialist
  • Krispy Kreme
  • Pearland, TX
  • If you love spreading joy, then this position is for you! Our Doughnut Specialist team members are the face of Krispy Kr...
  • 4/19/2024 12:00:00 AM

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Sales and Service Expert
  • 24 Hour Fitness, INC.
  • Pearland, TX
  • **FULL-TIME** Part-time **LOCATION** 10011 Broadway Street Pearland TX 77584 **Who we?are** At 24 Hour Fitness,?we are d...
  • 4/18/2024 12:00:00 AM

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Case Specialist
  • Tech Providers Inc.
  • Houston, TX
  • Role: Case Specialist Duration: 12 + month contract Location: Houston , TX (Hybrid) Client name: Cox Automotive Descript...
  • 4/18/2024 12:00:00 AM

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Intake Specialist
  • SJ Injury Attorneys
  • Pasadena, TX
  • Job Description Job Description Our expanding law firm is needing an experienced Intake Coordinator to join our team. We...
  • 4/18/2024 12:00:00 AM

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Delivery Specialist
  • O'Reilly Auto Parts
  • Galveston, TX
  • The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional custom...
  • 4/18/2024 12:00:00 AM

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Member Service Representative III- Webster
  • Burnett Specialists Staffing & Recruiting
  • Houston, TX
  • Job Description Member Service Representative III - Webster, TX Burnett's client in southeast Houston is a trusted finan...
  • 4/17/2024 12:00:00 AM

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Front Desk Specialist ($500 Sign-On Bonus)
  • Holidayinnclub
  • Galveston, TX
  • ** Front Desk Specialist ($500 Sign-On Bonus)** **Job Category****:** Resort Operations **Requisition Number****:** FRON...
  • 4/17/2024 12:00:00 AM

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Transfer Specialist
  • Service Corporation International
  • Clute, TX
  • Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work...
  • 4/16/2024 12:00:00 AM

The city of Galveston is situated on Galveston Island, a barrier island off the Texas Gulf coast near the mainland coast. Made up of mostly sand-sized particles and smaller amounts of finer mud sediments and larger gravel-sized sediments, the island is unstable, affected by water and weather, and can shift its boundaries through erosion. The city is about 45 miles (72 km) southeast of downtown Houston. The island is oriented generally northeast-southwest, with the Gulf of Mexico on the east and south, West Bay on the west, and Galveston Bay on the north. The island's main access point from the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,337 to $49,520
Galveston, Texas area prices
were up 1.2% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020