Bilingual Referrals Specialist: Patient Navigator

Legacy Community Health; Houston (TX); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Flexible Spending Account (FSA)

403(b) Retirement Plan with Company M‑

Short-Term & Long-Term Disability

$0 Copay for Legacy Provider visits

$0 Copay for prescriptions filled at 0

Travel Insurance

Pet Insurance

Paid Time Off & Paid Company Holidays

Subsidized Gym Membership

Job summary

Legacy Community Health in Houston, TX is seeking a Bilingual Referrals Coordinator to serve as the vital link between clinical staff and external providers, ensuring seamless referrals for our patients.

In this role you will verify insurance, obtain authorizations, conduct patient consultations, and maintain accurate records using Centricity EHRS, while adhering to HIPAA and Medicare/Medicaid regulations. The position offers a collaborative environment and opportunities for professional growth.

Qualifications

• High school diploma or GED.
• One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
• One year of experience in medical assistance, referral coordinator, insurance verification, or medical prior authorization.
• Ability to communicate effectively, both written and orally.
• Excellent customer service skills.
• Ability to multi task in a fast paced environment.
• Excellent organizational skills.
• Strong typing and computer skills.
• Must be computer savvy with strong MS Office knowledge, including Word, Excel, Outlook, and Power Point.
• Professional written and verbal communications skills.
• Spanish speaking required.

Responsibilities

• Review and process all diagnostic, specialty, and miscellaneous referral requests from clinical staff.
• Obtain patient insurance verification and authorization for referrals, scheduling appointments as needed.
• Conduct phone consultations with clients regarding their referral status.
• Handle prior authorization requests from clinical staff efficiently.
• Keep accurate records using Centricity EHRS.
• Build and maintain strong relationships with providers and referral sources.
• Adhere to regulations for a Patient Centered Medical Home and HIPAA Guidelines.
• Maintain knowledge of and comply with Medicare/Medicaid regulations.
• Ensure proper documentation of service coordination.
• Follow up and complete orders for referred patients
• Initiate and complete forms for provider review and signature
• Provide phone contact and motivation for patients needing imaging services and preventative cancer screenings
• Send reminder phone calls and letters to patients
• Set and confirm medical appointments as needed
• Participate in our Performance Improvement Program for care coordination
• Perform other duties as assigned, contributing to the overall success of the team

Skills

Bilingual Spanish

Communication skills

Customer service

Multi-tasking

MS Office proficiency

Phone and verbal skills

Education

High school diploma or GED

Certificate from college/technical school

Tools

Centricity EHRS

MS Office (Word, Excel, Outlook, PowerPoint)

Job description

Legacy Community Health in Houston, TX is seeking a Bilingual Referrals Coordinator to serve as the vital link between clinical staff and external providers, ensuring seamless referrals for our patients.

In this role you will verify insurance, obtain authorizations, conduct patient consultations, and maintain accurate records using Centricity EHRS, while adhering to HIPAA and Medicare/Medicaid regulations. The position offers a collaborative environment and opportunities for professional growth.