Referral Coordinator

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Central Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

🏛️ Government

⚕️ Healthcare Insurance

Healthcare • Government • Healthcare Insurance

Central Health is the Travis County Hospital District — a public hospital district and local health authority that coordinates and funds health care services and coverage for residents of Travis County, Texas. It oversees clinical services and community health programs, partners with providers (e. g. , CommUnityCare health centers), administers coverage programs such as the Medical Assistance Program (MAP), provides information about health insurance and marketplace options, and supports health & wellness, patient records, and population health initiatives. Central Health is governed by a Board of Managers and publishes strategic plans, budgets, and reports to the community.

📋 Description

• Monitor templates for appointment availability • Orient and train new referral department team members under the direction of the Triage and Referral Nurse Manager • Schedule appointments according to clinic guidelines • Audit referral team records as needed • Gather insurance and financial information to determine patient financial responsibility • Obtain referral authorizations for specialty services and communicate authorizations or denials to patients and providers • Resolve pre-authorization, registration, and other referral-related issues before appointments • Contact patients verbally or in writing according to protocol • Maintain updated referral resources • Complete and uphold referrals through the full referral process • Follow referral Standard Operating Procedures • Address PCP referral requests in a timely manner • Complete documentation in EPIC and keep patient records current and complete • Attend team huddles, scheduled meetings, and seminars • Participate in quality strategies and evaluate compliance with evidence-based guidelines • Ensure patient-care and administrative tasks comply with regulatory, accreditation, Joint Commission, and organizational standards • Develop favorable relationships with clinical managers, support staff, providers, business office staff, patients, and families • Collaborate with the care team to provide patient-centered care • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • Three years’ experience in the healthcare field, including one year experience as a Medical Assistant, Medical Administrative Clerk, Patient Services Representative, or Dental Assistant • Ability to utilize computers for data entry and information retrieval • Excellent verbal and written communication skills • Knowledge of federal, state, and local insurance regulations • Knowledge of the referral process for a variety of insurance plans • Success in researching and resolving complex issues • Familiarity with electronic devices and GUIs common in healthcare environments, including spreadsheets, word processing, patient record systems, and EHR systems • Ability to meet defined productivity standards • Maintain required licensure and/or certification requirements for continuing education and best practices