HCA Healthcare · 20 hours ago
Patient Referral Specialist
HCA Healthcare is dedicated to giving back to the community and is seeking a Patient Referral Specialist to join their team. The role involves processing referrals, scheduling patient appointments, and ensuring insurance authorizations are obtained to facilitate high-quality patient care.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Processes physician, hospital, and outpatient referrals
Responsible for patient scheduling, obtaining insurance authorization, and providing appropriate guidance regarding insurance coverage
Works collaboratively with all diagnostic and surgical service areas, physician offices and hospitals to ensure timeliness, accuracy and completeness when scheduling patient appointments, tests and procedures
Consistently provides accurate and detailed patient information to include patient demographics and medical information pertinent to appointment being scheduled to ensure patient safety and quality patient care
Determine insurance eligibility and authorization for medical office and/or surgical visits; or works with authorization coordinator to ensure all payor authorizations have been received
Initiate EMR by entering demographics, referring and certifying physicians, and family information; obtaining needed medical records from referring providers
Establish rapport with all offices, hospital personnel, and managed care representatives
Utilize EMR or other designated programs to capture and track referrals
Obtains accurate and valid physician or advanced practitioner orders for all appointments, tests and procedures being scheduled
Accurately and consistently communicates appointment, test, procedure information and prep to patient and/or family member
Adheres to privacy, compliance and HIPPA regulations
Ensure patient has follow-up appointment with the physician to discuss outcomes, as appropriate
Consistently and accurately document the date and time of appointment, tests, scan or procedure in the patient's medical record
Communicate as appropriate to practice staff and ensures the referral process is completed and closed
Outgoing referrals submitted same day, preferably with patient present to obtain the optimal appointment
Weekly reporting to practice leadership on referral volume, referral status, and follow up on outstanding appointments
Performs related work as required
Practice and adhere to the Code of Conduct and Mission and Value Statements
Qualification
Required
High School Diploma or GED equivalent
One year of experience in referral coordination relating to insurance provider tier levels, insurance authorizations, and out of network procedures required
Knowledge of medical terminology
Knowledge of common safety hazards and precautions to establish a safe work environment
Establishing and maintaining effective working relationships with patients, medical staff and the public
Must have good interpersonal skills
Ability to communicate effectively both verbally and in writing, and keep a positive attitude with patients, peers, providers, employers, insurers, and family members
Must be flexible and able to handle multiple tasks
Good organizational skills
Preferred
Word processing and Excel experience preferred
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
H1B Sponsorship
HCA Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (2)
2020 (1)
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Recent News
2025-12-31
2025-12-26
2025-12-24
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