Patient Care Referrals Navigator

ICH0213 InnovaCare Texas Management Services Company, LLC; United States; On-site; USD 40,000 - 56,000; Full time

Job summary

InnovaCare Health is seeking a Referral Coordinator to collaborate with patients, assess and advocate for health needs, and coordinate referrals across our clinics. The role emphasizes strong communication, documentation, and problem-solving to ensure timely approvals and optimal patient outcomes.

The successful candidate will manage patient registrations, gather clinical background, liaise with specialists and insurers, and act as a navigator for patients and families within a compassionate,

Qualifications

• High school diploma, sometimes combined with medical assistant certification.
• Strong customer service focus.
• Effective verbal and written communication skills.
• Teamwork orientation.
• Organized and able to manage competing priorities.
• Good judgment.
• Resourcefulness in problem solving.
• Able to take and follow through with delegated tasks and accountability.
• Bilingual English/Spanish preferred.

Responsibilities

• Maintain ongoing tracking and appropriate documentation on referrals to promote Team awareness and ensure patient safety.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Assemble information concerning patient's clinical background and referral needs.
• Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior approval requirements are met.
• Present necessary medical information such as history, diagnosis and prognosis.
• Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
• Review details and expectations about the referral with patients.
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers.
• Be the system navigator and point of contact for patients and families.
• May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
• Identify and utilize cultural and community resources.
• Establish and maintain relationships with identified service providers.
• Ensure that referrals are addressed in a timely manner.
• Remind patients of scheduled appointments via mail or phone.
• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organizations related to their health.
• Understands and follows the Code of Conduct and HIPPA guidelines.

Skills

Customer service

Verbal/written communication

Teamwork

Prioritization

Education

High school diploma

Medical assistant certification

Job description

InnovaCare Health is seeking a Referral Coordinator to collaborate with patients, assess and advocate for health needs, and coordinate referrals across our clinics. The role emphasizes strong communication, documentation, and problem-solving to ensure timely approvals and optimal patient outcomes.

The successful candidate will manage patient registrations, gather clinical background, liaise with specialists and insurers, and act as a navigator for patients and families within a compassionate,