Referral & Authorization Care Navigator

UVALDE COUNTY HOSPITAL AUTHORITY UVALDE MEMORIAL HOSPITAL; Uvalde (TX); On-site; USD 38,000 - 48,000; Full time

Job summary

Uvalde Memorial Hospital, part of UVALDE COUNTY HOSPITAL AUTHORITY, seeks a Referral and Authorization Coordinator to streamline referrals and authorizations for procedures and appointments. You will coordinate with patients, providers, insurance companies, and outside specialists to ensure timely care.

In this role, you'll educate patients on insurance benefits and costs, maintain accurate documentation, and help navigate financial assistance options while delivering exceptional service in a

Qualifications

• High school diploma or equivalent required.
• Previous medical office experience preferred.
• Experience with referrals, insurance verification, and prior authorizations preferred.
• Excellent customer service and communication skills.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office, Outlook, and electronic healthcare systems.
• Bilingual skills are a plus.

Responsibilities

• Coordinate referrals and insurance authorizations for procedures, specialist visits, and diagnostic services.
• Schedule appointments with Uvalde Memorial Hospital providers and outside specialists.
• Keep patients informed throughout the referral and authorization process while providing clear appointment instructions and follow-up information.
• Obtain insurance authorizations promptly, prioritizing urgent requests to prevent delays in care.
• Communicate and collaborate with providers, insurance companies, outside facilities, and clinic staff to ensure timely coordination of services.
• Maintain accurate documentation of referrals, authorizations, and patient communications.
• Educate patients on insurance benefits, financial responsibilities, payment options, and available financial assistance programs.
• Research specialty providers and insurance participation to help patients receive care from the appropriate providers.

Skills

Customer service

Communication

Organizational skills

Multitasking

Team collaboration

Bilingual

Education

High school diploma or equivalent

Tools

Microsoft Office

Outlook

Electronic Health Records

Job description

Uvalde Memorial Hospital, part of UVALDE COUNTY HOSPITAL AUTHORITY, seeks a Referral and Authorization Coordinator to streamline referrals and authorizations for procedures and appointments. You will coordinate with patients, providers, insurance companies, and outside specialists to ensure timely care.

In this role, you'll educate patients on insurance benefits and costs, maintain accurate documentation, and help navigate financial assistance options while delivering exceptional service in a