Patient Access & Referral Specialist

UT Health San Antonio; San Antonio (TX); On-site; USD 36,000 - 60,000; Full time

Job summary

UT Health San Antonio is seeking an administrative coordinator who under general supervision coordinates patient referrals, authorizations, scheduling, and related processes to ensure timely access to care. You will serve as a liaison between patients, providers, clinics, and external organizations while maintaining accurate referral and patient records.

The role requires knowledge of medical terminology, insurance authorization, and experience with electronic health records.

Qualifications

• Education: High school diploma.
• Knowledge of medical terminology, referral processes, and insurance authorization requirements.
• Ability to navigate electronic health records and scheduling systems.
• Ability to operate a multi-line telephone system while providing excellent service.
• Strong organizational and attention to detail skills.
• Ability to establish and maintain effective working relationship with patients, employees and the public.
• Ability to maintain confidentiality and adhere to HIPAA guidelines/regulations.
• Excellent customer service and communication skills.

Responsibilities

• Receive, process, and track incoming and outgoing referrals.
• Coordinate appointments and schedules with internal and external providers.
• Obtain and document insurance authorizations and pre-certifications as required.
• Collect and maintain required demographic, insurance, and referral documentation.
• Monitor referral work queues and follow up on outstanding referrals.
• Communicate appointment information, referral status, and administrative requirements to patients and referring offices.
• Facilitate transmission of medical records, referral documentation, and supporting information.
• Enter and update patient and referral information accurately in the electronic health record and applicable systems.
• Maintain referral logs, reports, and other records as required.
• Identify and elevate clinical questions, urgent symptoms, or patient concerns to licensed clinical staff according to established procedures.
• Maintain compliance with HIPAA, organizational policies, and regulatory requirements.
• Participate in process improvement activities related to referral management and patient access.
• Perform other duties as assigned.

Skills

Medical terminology

Insurance authorization

EHR navigation

Scheduling systems

Phone system operation

Customer service

HIPAA compliance

Education

High school diploma

Job description

UT Health San Antonio is seeking an administrative coordinator who under general supervision coordinates patient referrals, authorizations, scheduling, and related processes to ensure timely access to care. You will serve as a liaison between patients, providers, clinics, and external organizations while maintaining accurate referral and patient records.

The role requires knowledge of medical terminology, insurance authorization, and experience with electronic health records.