Referral Coordinator

Ardent Health Services; Tyler (TX); Presencial; USD 38 000 - 52 000; Tempo integral

Resumo da oferta

Ardent Health Services in Tyler, TX is seeking a day shift, full-time Referral Coordinator. This role handles referrals, verifies insurance, schedules patients with appropriate providers, and maintains accurate patient records.

The team emphasizes a patient-first approach and collaboration with physicians and office staff. Responsibilities include processing referrals within 24–48 hours, obtaining authorizations, data entry of patient information, and providing professional phone support.

Qualificações

• High School diploma required.
• One year of clinical experience and health insurance knowledge.

Responsabilidades

• Referrals are processed according to department protocols and workflow guidelines.
• Answer phones in a professional manner with greeting and patient name use.
• Enter and update patient health information and demographics, including insurance details.
• Verify insurance and obtain authorizations for referrals.
• Schedule patients with appropriate providers and document status updates.

Conhecimentos

High School diploma

Clinical experience

Health insurance knowledge

Descrição da oferta de emprego

Overview

Join our team as a day shift, full-time, Referral Coordinator in Tyler, TX.

Why Join Us?Thrive in a People-First Environment and Make Healthcare Better

• Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
• People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:

• UT Health East Texas Physicians has 90 primary and specialty care clinics and eight urgent care centers in communities across the region. Affiliated with The University of Texas at Tyler School of Medicine, we provide top-tier education, innovative research, and residency programs training future medical leaders.

Responsibilities

• Referrals are worked based on department protocols; see attached Visio documents outlining the workflow for internal, incoming, and outgoing referrals.
• Works referrals 24 to 48 hours upon receipt; urgent referrals are worked within 2 hours or the next business day.
• WQ require orders to be authorized and scheduled when working referrals.
• Work WQ assignment is based on need and can be very fluid every day.
• Workflows are designed to be efficient and effective and must be adhered to ensure continuity of care and meet the level of expectations of referring provider. See attached Visio documents outlining expected workflow.
• Meets department productivity standards determined by the type of work assigned.
• Referral Coordinators are expected to work 80 referrals a day; work being defined as transitioning the referral to its destination if it is outgoing or scheduling the patient with the correct specialty/provider, acquiring an insurance authorization, and confirming the information with the patient. Also to include but not limited to, adding a note about the status of the referral or communication with the patient or provider’s office.
• Work responsibilities include but not limited to authorizing referral with insurance, scheduling patient with appropriate provider based on referred to provider, patient choice or recommendations from referral coordinator, documenting all appropriate/necessary information in referral to complete it.
• Answers phones in a timely yet professional manner, to include your first name and a greeting appropriate to the time of day. Use the patient’s name as much as possible and thank them for calling when done.
• Voice mail greeting is professional and customer focused. VM are to be returned within 24 hours and notes are updated in the referral.
• Data entry of patient health information and demographics to include but not limited to, adding or updating insurance, updating patient demographics, address, emails, phone numbers etc.
• Provide direction and assistance to all as needed
• Scans or imports necessary information into patient documents.
• Verifies insurance and obtains authorizations
• Accurately documents patient records.
• Maintains a constructive working relationship with physicians, physician office staff, co-workers, supervisors and others as needed; focus on the patient and their needs

Qualifications

Job Requirements:

• High School diploma required
• One year of clinical experience and health insurance knowledge