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Referral Management Specialist

2 months ago

Mansfield, Texas, United States Palm Medical Centers Full time
Job Overview

The Referral Coordinator plays a crucial role in managing patient referrals within Palm Medical Centers. This position is essential for ensuring seamless communication and coordination between patients, healthcare providers, and insurance companies.

Duties and Responsibilities:
  • Maintain comprehensive tracking and documentation of referrals to enhance team collaboration and safeguard patient well-being.
  • Ensure accurate patient registration, including demographic details and current insurance coverage.
  • Input and update referral information in the electronic health record system as necessary.
  • Gather relevant information regarding the patient's medical history and referral requirements.
  • Engage with review organizations and insurance providers to confirm compliance with prior authorization protocols.
  • Provide essential medical data, including patient history, diagnosis, and prognosis.
  • Supply specific medical information to financial services to optimize reimbursement for the healthcare facility and physicians.
  • Discuss referral details and expectations with patients to ensure clarity.
  • Assist patients in navigating potential challenges related to the healthcare system, including financial or social obstacles.
  • Identify and leverage cultural and community resources, establishing strong relationships with service providers.
  • Ensure timely processing of referrals to enhance patient care.
  • Keep the patient's primary care chart updated with information on specialist consultations, hospital admissions, emergency room visits, and community resources.
  • Perform additional duties as assigned.
Required Skills and Abilities:
  • Exceptional verbal and written communication capabilities.
  • Strong customer service orientation.
  • Excellent organizational skills with a keen attention to detail.
  • Proficient in Microsoft Office Suite or similar software.
  • Bilingual proficiency in English and Spanish is preferred.
Education and Experience:
  • A high school diploma or equivalent is required. A minimum of one year of experience in referrals or a related medical office setting is necessary.
  • Experience with electronic medical record systems is advantageous.
Physical Requirements:
  • Ability to sit for extended periods while working on a computer.
  • Must be capable of lifting up to 10 pounds occasionally.

Work Type: Full-time

Compensation: Starting pay at $21.00 per hour, commensurate with experience.

Benefits:
  • Health, dental, and vision insurance
  • Disability and life insurance
  • 401(k) plan
  • Employee assistance program
  • Flexible spending account
  • Paid time off
Schedule:
  • 8-hour shifts
  • Daytime hours, Monday through Friday
Education:
  • High school diploma or equivalent (Required)
Experience:
  • Referral management: 1 year (Required)
  • Health insurance verification: 1 year (Required)

Palm Medical Centers is an equal opportunity employer committed to fostering diversity and inclusion in the workplace. We uphold a strict policy against discrimination and harassment based on any protected characteristic as outlined by applicable laws.