Referral Specialist Job Denison area,Texas USA,Healthcare

Responsibilities About Texoma Care

Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. Texoma Care is comprised of primary care physicians and a variety of specialists in nine local communities. Working with Texoma Care means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. Texoma Care is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services.

Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.

The Referral Specialist

The Referral Specialist is responsible for scheduling referrals for patients, providers, pre-authorizing & pre-certing tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Directly communicates with the clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. Performs all work in accordance with the mission, vision, and values of the practice.

Independence

Physician Management (IPM)

IPM develops and manages multi-specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

As

a Texoma Care employee

You will be part of a first-class organization offering:

Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision, and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries!

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom.

Qualifications Education

High school graduate or GED required.

Work experience

Minimum of two years’ experience in a healthcare or clinical setting.

Knowledge

Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, and federal and state insurance Regulations and HIPAA privacy standards is strongly preferred.
Typing, 10-key, and computer skills required.
Proficiency in Microsoft Office applications required.
Required effective interpersonal skills and excellent written, oral communication skills.
Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals are preferred. Knowledge of third-party…