Referral Specialist jobs in Texas

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 Coordination
  • Ambulatory Referral Coordination - UTMB Health Careers
  • Webster, 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
  • Just Posted

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Patient Access Specialist - Ambulatory Referral Coordination (Webster)
  • Ambulatory Referral Coordination (Webster) - UTMB Health Careers
  • Webster, 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 nurturi...
  • 10 Days Ago

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Referral Specialist
  • Northwest Texas Physicians Network
  • Amarillo, TX FULL_TIME
  • Responsibilities: ABOUT NORTHWEST PHYSICIANS GROUP Northwest Physicians Group formed in 2013 with a focus towards population health management. The group has grown to a network of over 40 providers se...
  • 16 Days Ago

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Referral Specialist
  • Mindpath Health
  • Austin, TX FULL_TIME
  • About the Role The Referral Specialist (Remote) works to build strong partnerships with internal and outside referral sources. This position will be instrumental in improving the patient referral expe...
  • 18 Days Ago

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Referral Specialist
  • BWW Law Group, LLC
  • Irving, TX FULL_TIME
  • BWW LAW GROUP, LLC, an “AV” rated real estate default law firm with offices located in Rockville, MD, Richmond, VA, and a remote team in Dallas, TX, is seeking a dynamic and motivated individual to jo...
  • Just Posted

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Referral specialist
  • Cameron County
  • Los Fresnos, TX FULL_TIME
  • SALARY : $ 10.00 per hour QUALIFICATIONS : High School Diploma or equivalent preferred. Ability to communicate effectively (oral, written and Spanish speaking ability). Preferred knowledge of computer...
  • Just Posted

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Referral Specialist
  • State Farm
  • Schertz, TX
  • Job Description Job Description Outbound calling generating leads/appointments/sales by phone. 4-hour shift Monday-Frida...
  • 4/23/2024 12:00:00 AM

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Referral Specialist
  • Trinity Health
  • Des Moines, IA
  • Employment Type: Full timeShift: Description: Gather, verify, and process referrals, authorizations, and pre-certificati...
  • 4/22/2024 12:00:00 AM

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Referral Specialist
  • The South Bend Clinic
  • South Bend, IN
  • Overview: Department: Business Office Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635...
  • 4/21/2024 12:00:00 AM

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Referral Specialist
  • Universal Health Services
  • Las Vegas, NV
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often ...
  • 4/21/2024 12:00:00 AM

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Referral Specialist
  • Matthew Walker Comprehensive Health Center
  • Nashville, TN
  • Job Description Job Description Matthew Walker Comprehensive Health Center has an exciting opportunity available for a s...
  • 4/21/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Columbus, GA
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/20/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Hollywood, FL
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/20/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Fort Lauderdale, FL
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/20/2024 12:00:00 AM

Texas (/ˈtɛksəs/, locally /ˈtɛksɪz/; Spanish: Texas or Tejas Spanish pronunciation: [ˈtexas] (listen)) is the second largest state in the United States by both area and population. Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo León, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast. Houston is the most populous city in Texas and the fourth largest in the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$39,569 to $48,578

Referral Specialist in Paramus, NJ
The information and referral series is designed to promote public access to a variety of services available through local agencies and programs.
January 20, 2020
Referral Specialist in Clarksville, TN
These referrals are for individuals requiring services related to quality early learning and licensed child care, and children, youth, and adults with developmental disabilities including Coordinated Information Peel, Respite Services and Kids Pathways Peel.
January 29, 2020
Referral Specialist in Fairbanks, AK
A referral specialist may be required to communicate via email and letter, phone, or in person.
December 12, 2019