Healthcare Referral Specialist

Sanitas; Katy (TX); Híbrido; USD 40 000 - 55 000; Tempo integral

Resumo da oferta

Sanitas in Houston region is seeking a Referral Coordinator to manage referrals, obtain prior authorizations, process referrals, and schedule specialists for patients. The role supports continuity of care within a hybrid work setting.

The ideal candidate has at least one year of experience with referrals or medical office settings, proficiency in Microsoft Office, and strong communication skills. Spanish or Creole language skills are a plus.

Qualificações

• Proficient with Microsoft Office Suite or related software.
• Excellent verbal and written communication skills.
• Excellent customer service skills.
• Excellent organizational skills and attention to detail.

Responsabilidades

• Training and Education: Staying updated on healthcare regulations, insurance requirements. Providing training and education to other staff members as needed.
• Assessment and Evaluation: Reviewing patient records and assessments. Assessing the specific requirements of the patient's condition.
• Communication and Liaison: Collaborating with referring healthcare providers. Communicating with specialists or service providers.
• Insurance Verification and Authorization: Verifying patient insurance coverage for the referral services. Obtaining necessary pre-authorization or precertification from insurance providers.
• Documentation and Record Keeping: Maintaining accurate and organized records of all referrals, including relevant details. Must enter and update referral data in the electronic system as appropriate. Documenting the reasons for the referral, dates, and specialist information.
• Patient Education and Support: Explaining the referral process to patients, including reasons for the referral and what to expect.

Conhecimentos

MS Office

Communication

Customer service

Organization

Formação académica

High school diploma or equivalent

Ferramentas

EMR systems

Descrição da oferta de emprego

Sanitas in Houston region is seeking a Referral Coordinator to manage referrals, obtain prior authorizations, process referrals, and schedule specialists for patients. The role supports continuity of care within a hybrid work setting.

The ideal candidate has at least one year of experience with referrals or medical office settings, proficiency in Microsoft Office, and strong communication skills. Spanish or Creole language skills are a plus.