Healthcare Referral Coordinator & Authorizations

Arbour SeniorCare; McAllen (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Retention Bonus Program

Loan Forgiveness Program

Competitive compensation & generous PA

Excellent medical, dental, vision, and

401(K) with company match

SoFi student loan refinancing

Tuition savings for nursing education

Career development within UHS

Pet Insurance

Job summary

Laredo Physicians Group in Texas seeks a Referral Specialist to manage scheduling referrals, pre-authorizations, and coordination with clinics and patients. You will review clinical data to support medical necessity for insurance companies and align with IPM and UHS standards.

This role emphasizes accurate scheduling, cross-team communication, and adherence to the practice's mission and values, offering growth within a large healthcare network.

Qualifications

• High school diploma or GED is required.
• Must maintain CPR certification.
• Minimum of two years of clinical experience.
• Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
• Knowledge of electronic equipment, computer hardware and software, including applications and programming.
• Knowledge of principles and processes for providing customers and personal services, including needs assessment and satisfaction evaluation.
• EMR experience.

Responsibilities

• Schedule referrals for patients and providers, and pre-authorize/pre-certify tests or procedures.
• Schedule other tests with facilities as requested by providers or staff.
• Communicate effectively with patients, clinics, and hospitals.
• Review clinical data to report medical necessity to insurance companies.

Skills

CPR certification

EMR experience

Administrative & clerical skills

Customer service awareness

Electronic equipment knowledge

Education

High school diploma or GED

Job description

Laredo Physicians Group in Texas seeks a Referral Specialist to manage scheduling referrals, pre-authorizations, and coordination with clinics and patients. You will review clinical data to support medical necessity for insurance companies and align with IPM and UHS standards.

This role emphasizes accurate scheduling, cross-team communication, and adherence to the practice's mission and values, offering growth within a large healthcare network.