Healthcare Referrals & Medical Records Specialist

Health Services of North Texas Inc; Denton (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Health Services of North Texas Inc. in Denton, TX is seeking a Referral and Medical Records Coordinator to optimize patient care by managing referrals, medical records, and prior authorizations across HSNT facilities.

The role requires strong communication, bilingual Spanish/English skills, attention to detail, and proficiency with EMR systems and MS Office. You will collaborate with clinical and support teams, ensure HIPAA compliance, and help schedule referrals while maintaining accurate data

Qualifications

• Minimum 1-year previous full-time experience in a medical environment with direct contact with medical records.
• Knowledge of medical terminology and ability to read reports and understand documentation.
• Ability to triage to determine level of urgency in scheduling.
• Bilingual Spanish/English a plus.
• Exceptional customer service skills, with the ability to interact professionally and effectively with providers, third party payers, physicians, and staff from all departments within and outside the Agency.
• Knowledge of 3rd party reimbursement programs.
• Strong computer skills (including familiarity with electronic health record systems).
• Strongly developed attention to detail.
• Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas
• Ability to adapt easily to changing environments.
• Ability to multi-task in a busy environment
• Ability to communicate effectively with all levels of the organization.
• Ability to organize and prioritize.
• Ability to maintain confidentiality.
• Must have proven skills in working independently, self-motivated and goal oriented.
• Ability to work flexible hours, as registration responsibilities may dictate.
• Must be willing to work at any HSNT location, other than assigned site and be agreeable to work weekends, as responsibilities may dictate.
• Microsoft Office Skills

Responsibilities

• Communicates timely/accurately with referral source, other HSNT departments/patients to ensure assigned task is completed and processed correctly when a referral is made or medical records are requested.
• Appropriately forwards all referral and medical records requests to the next level of review when required.
• Maintains Referrals Tables in Electronical Medical Records Administration Tables.
• Reviews, monitors, maintains, and results Provider Referral Queues as well tracks, requests, and completes outbound and inbound medical records.
• Scans referrals consult notes and inbound medical records received to appropriate order. (Attach reports/consults/results/records to orders/imaging/labs in EMR; copy paper charts as necessary.)
• Completes/Coordinates Prior Authorizations. To include DME supplies and medications when applicable.
• Assists patients with scheduling appointment with referral source as needed.
• Retrieves/Archives records from all EMR systems and Paper Chart Storage Facilities per requests.
• Prepares/Locates charts for medical audits and assists with data extraction/entry.
• Merge/Reconcile and marks Medical Charts as necessary. (ex. Deceased, Inactive)
• Assists with Grants and processing of grant approval forms for referrals made for patients in need.
• Coordinates with community partnerships to validate and transmit referring data for patient program outreach resources.
• Adheres to company HIPAA policies and procedures.
• Ensures integrity of data entry is accurate.
• Complete reporting as assigned.
• Participates in quality initiatives as needed.
• May perform other duties as assigned by the Business Office Manager or Practice Administrator.

Skills

Medical terminology

Customer service

Bilingual Spanish/English

Attention to detail

Professional communication

Tools

EMR systems

Microsoft Office

Job description

Health Services of North Texas Inc. in Denton, TX is seeking a Referral and Medical Records Coordinator to optimize patient care by managing referrals, medical records, and prior authorizations across HSNT facilities.

The role requires strong communication, bilingual Spanish/English skills, attention to detail, and proficiency with EMR systems and MS Office. You will collaborate with clinical and support teams, ensure HIPAA compliance, and help schedule referrals while maintaining accurate data