Referral Authorization Coordinator

Deer Oaks; San Antonio, Northern (TX, KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Deer Oaks is seeking a Referral Authorization Coordinator to join the revenue cycle team in San Antonio, TX. You will ensure accurate patient referral data, perform eligibility checks, obtain authorizations, and support clinicians across facilities.

You will maintain HIPAA confidentiality, manage referrals efficiently, meet daily and quarterly targets, and collaborate with departments to ensure smooth workflow in a fast-paced healthcare environment.

Qualifications

• 2 years' experience as a Referral Authorization Coordinator; experience with insurance verification & processes.
• Proficient in Microsoft Office (Outlook, Word, Excel).
• Self-starter with high integrity and ability to handle confidential information.
• Ability to exercise judgment and adapt to changing needs.
• High attention to detail and accuracy.
• Strong sense of urgency and adaptability in a fast-paced environment.
• Excellent written and verbal communication, courteous professional demeanor.
• Ability to work independently and in a team, with cross-department collaboration.
• Able to multi-task, meet deadlines and handle referrals in a timely manner.
• Minimum high school diploma or equivalent with 2 years' referral authorization experience preferred.

Responsibilities

• Obtains and verifies registration, demographic and insurance information for accuracy.
• Performs member eligibility checks by phone or electronically.
• Processes patient referrals for assigned cost centers.
• Obtains authorizations following proper procedures.
• Supports clinicians and patients in synchronized authorizations across facilities.
• Communicates with facilities and clinicians to ensure referral follow-through.
• Maintains confidentiality of health records per HIPAA guidelines.
• Completes all administrative tasks related to referrals efficiently.
• Monitors referral reports not received and follows up promptly.
• Maintains amicable interactions with coworkers, referral sources, office staff, and clinicians.
• Performs clerical tasks such as faxing, scanning, and copying while ensuring compliance.
• Meets daily, monthly and quarterly metrics per leadership goals.
• Performs other related duties as assigned.

Skills

Referral Authorization coordination

Insurance verification

Authorization experience

Attention to detail

Communication skills

Multi-tasking

Self-starter

Education

High School Diploma or equivalent

Tools

Microsoft Office

Outlook

Word

Excel

Job description

As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations.

Job Description:

• Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
• Performs eligibility checks on members as necessary by telephone or electronically.
• Responsible for processing of all patient referrals for assigned cost centers.
• Obtains authorizations, follows procedures for proper authorization and processing of all referral services.
• Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.
• Communicate with facilities and clinicians to ensure follow through with referrals.
• Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
• Completes all administrative functions related to referral activities in an efficient manner.
• Responsible for monitoring all referral reports not received and follow up in a timely manner.
• Responsible for amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
• Various clerical work, including faxing, scanning, and copying. Ensure the work being performed meets internal and external compliance standards.
• Meet daily, monthly, and quarterly metrics and goals the leadership team sets.
• Perform other related duties as apparent and/or assigned.

Qualifications

• 2 years' experience as a Referral Authorization Coordinator, experience with insurance verification & processes. Referral & Authorization experience is a plus.
• Proficient in Microsoft suite of products, including Outlook, Word, and Excel.
• Self-starter, able to display the highest level of integrity and respect for confidentiality.
• Ability to exercise practical judgment and sensitivity to changing needs and situations.
• High attention to detail and accuracy
• Must possess a strong sense of urgency and the ability to adapt to a changing environment.
• Excellent written and verbal communication skills. Support all communications with a high level of courtesy and professional acumen.
• Proven ability to work independently at times and within a team.
• Demonstrated ability to interact collaboratively with other departments and teams.
• Ability to multi-task, meet deadlines, and be able to succeed in a fast-paced work environment.
• Minimum High School Diploma or equivalent, 2 years' experience as a Referral Authorization Coordinator, experience performing insurance verification and prior authorizations preferred.

Equal Opportunity Employer
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