Referral & Authorization Specialist

CHRISTUS Health; Corpus Christi (TX); On-site; USD 40,000 - 48,000; Full time

Job summary

CHRISTUS Health is seeking a Referral Coordinator to manage the end-to-end referral process for a 35-physician practice, including obtaining physician orders, insurance authorizations, and scheduling patient appointments with providers who accept the plan. You will ensure correct CPT/ICD-9 coding and communicate plan changes to clinicians and payors.

Responsibilities include coordinating renewals, addressing claims issues, and educating nursing staff and physicians about evolving insurance

Qualifications

• Clinical background knowledge to support referral communications with physicians and insurance payors.
• CPT and ICD-9 coding knowledge required to process referrals accurately.
• 1–3 years of experience in a related referral/coordinator role preferred.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

Skills

Clinical knowledge

Education

High School Diploma or equivalent

Job description

CHRISTUS Health is seeking a Referral Coordinator to manage the end-to-end referral process for a 35-physician practice, including obtaining physician orders, insurance authorizations, and scheduling patient appointments with providers who accept the plan. You will ensure correct CPT/ICD-9 coding and communicate plan changes to clinicians and payors.

Responsibilities include coordinating renewals, addressing claims issues, and educating nursing staff and physicians about evolving insurance