Patient Referral Specialist
Resurgens Orthopaedics
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- Location
- Grapevine, TX
- Work style
- On-site
- Job type
- Full time
- Posted
- Oct 30
- 1 day ago
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About the company
Resurgens Orthopaedics
Hospital & health care · 501 to 1,000 employees
What you'll do
- Manage external referrals and daily referral reconciliation
- Answer telephone calls and assist with scheduling and other needs
- Communicate with outside physician offices to clarify referral issues
- Communicate with clinical staff to promote team awareness
- Ensure accuracy of electronic patient records
- Scan medical records and other documentation into the EMR system
- Retain and utilize knowledge of insurance policies and procedures
- Assist with front desk, lobby information desk, and medical records coverage
What you need
- High School Diploma/GED or equivalent experience
- 1-2 years of referral coordination experience, including HMO experience
- Strong written and verbal communication skills
- One or more years experience communicating with patients (preferred)
- Background in medical terminology, orthopedics, and analyzing medical situations for scheduling (preferred)
- Familiarity with health insurance plans and benefit eligibility processes (preferred)
Key skills
Referral coordinationHMO experienceElectronic medical recordsStrong keyboard skillsCustomer service skillsBenefit eligibility processes (preferred)
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Job Type
Full-time
Description
The Patient Referral Specialist ensures the effective management of all incoming specialist referrals and maintains accurate and timely records in the electronic medical records (EMR) system. Assists with coverage of front desk reception area, coverage of lobby information desk, and medical records department as needed.
Job Duties:
Manage external referral process and daily referral reconciliation gathering required information and documents needed, working them accordingly in compliance with established timelines.
Answers telephone calls and assist with scheduling and other needs based on the call type.
Participates in clinic and market education, training, and meetings as need and/or required.
Communicate with outside physician offices when needed to clarify referral issues.
Communicate with clinical staff promote team awareness.
Maintains knowledge and ensures procedures are followed including referral guidelines, and policies, privacy, and confidentiality.
Deliver quality customer service, managing the referral process professionally and in a timely manner maintaining professionalism and positive attitude with all internal and external customers/peers.
Works independently.
Ensure accuracy of electronic patient records; including registration information, demographics, current insurance information, specialist consults, hospitalization, ER visits, and community organizations related to their health.
Scan MRI’s, surgery photos, outside medical records, and additional documentation into EMR system to support the patient referral.
Retain and utilize knowledge of insurance policies and procedures.
Performs other related duties as assigned.
Requirements
EDUCATIONAL REQUIREMENTS:
High School Diploma/GED or equivalent experience
QUALIFICATIONS AND EXPERIENCE:
1-2 years of referral coordination experience is required. Must include HMO experience.
Computer literate, with strong keyboard skills and experience with electronic medical records system
One or more years experience in communication with patients preferred
Background in medical terminology, orthopedics, and ability to analyze medical situations for scheduling purposes preferred
Familiarity with various health insurance plans and benefit eligibility processes preferred
Strong written and verbal communication skills
Pleasant speaking voice and demeanor, with strong customer service skills
Neat, professional appearance
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