Referral Coordinator

SANITAS OF TEXAS LLC; Katy (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

SANITAS OF TEXAS LLC is seeking a Referral Coordinator to manage referrals and coordinate care across our health network in Texas. The role ensures patients receive appropriate services by following referral guidelines, obtaining authorizations, and scheduling specialists per provider requests.

Ideal candidates have at least one year in referrals or medical office work, strong communication, and proficiency with EMR systems and MS Office. Training and HIPAA privacy compliance are emphasized.

Qualifications

• High school diploma or equivalent required.
• Minimum one year of work experience with referrals or in a related medical office.
• Experience with EMR systems preferred.
• Proficient with Microsoft Office Suite or related software.

Responsibilities

• Manage and process referrals, ensuring timely delivery of services.
• Obtain prior authorization or precertification when required by plans.
• Schedule appointments with specialists per provider requests.
• Enter and update referral data in the electronic system.
• Explain the referral process to patients and provide education.
• Maintain accurate and organized referral records.

Skills

Microsoft Office

Verbal communication

Written communication

Customer service

Organizational skills

Attention to detail

Education

High school diploma

Tools

EMR systems

Job description

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”Job SummaryThe purpose of the Referral Coordinator position is to manage and facilitate the process of referring patients to other healthcare providers or services, ensuring that patients receive the appropriate care and services they need. This includes responsibilities such as following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals, and scheduling appointments to specialists for patients per provider requests. Referral Coordinators play a crucial role in maintaining the continuity of care within the healthcare system.Essential Job FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Training and Education: Staying updated on healthcare regulations, insurance requirements. Providing training and education to other staff members as needed.Assessment and Evaluation: Reviewing patient records and assessments. Assessing the specific requirements of the patient's condition.Communication and Liaison: Collaborating with referring healthcare providers. Communicating with specialists or service providers.Insurance Verification and Authorization: Verifying patient insurance coverage for the referral services. Obtaining necessary pre-authorization or precertification from insurance providers.Documentation and Record Keeping: Maintaining accurate and organized records of all referrals, including relevant details. Must enter and update referral data in the electronic system as appropriate. Documenting the reasons for the referral, dates, and specialist information.Patient Education and Support: Explaining the referral process to patients, including reasons for the referral and what to expect.Problem-Solving and Issue Resolution: Resolving any challenges or obstacles that may arise during the referral process.Compliance and Privacy: Ensuring the referral process complies with healthcare regulations and privacy policies, such as HIPAA.Supervisory ResponsibilitiesThis position has no supervisory responsibilities.Required EducationHigh school diploma or equivalent.Required ExperienceMinimum requirement of one year work experience with referrals, or related medical office experience. Experience with EMR systems is preferred.Required Licenses and CertificationsN/ARequired Knowledge, Skills, and AbilitiesProficient with Microsoft Office Suite or related software.Excellent verbal and written communication skills.Excellent customer service skills.Excellent organizational skills and attention to detail.Preferred QualificationsExperience with EMR systems preferred.Financial ResponsibilitiesThis position does not currently handle physical money or negotiates contracts.N/ABudget ResponsibilitiesThis position does not have budget responsibilities.N/ALanguagesEnglishAdvancedSpanishPreferredCreolePreferredTravelNot requiredN/APhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Includes all patient-facing clinical staff ( Medical Assistants, Phlebotomists, Mammography Technologists, Radiologic Technologists, Multi-Specialty staff, Providers) as well as Facilities Technicians. These positions typically require prolonged standing and walking, frequent bending, reaching, lifting, pushing, and pulling of equipment or supplies (up to 50 pounds), manual dexterity, and compliance with infection control and safety protocols. Facilities Technicians may also perform repairs, renovations, remodeling, preventive maintenance, and use tools and equipment to support our medical centers.Environmental ConditionsInside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.Physical/Environmental ActivitiesPlease indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren’t essential to job performance.Working ConditionNot RequiredOccasionally(1-33%)Frequently(34-66%)Constantly(67-100%)Must be able to travel to multiple locations for work (i.e.travel to attend meetings, events, conferences).XMay be exposed to outdoor weather conditions of cold,heat, wet, and humidity.XMay be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists.XMust be able to ascend and descend ladders, stairs, or other equipment.XSubject to exposure to hazardous material.X