Referral Coordinator

Ardent Health Services; Tyler (TX); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Tuition assistance

Paid time off

Health benefits

Career growth opportunities

Job summary

Talentify is seeking a day shift, full-time Referral Coordinator in Tyler, TX. The role focuses on processing referrals, obtaining authorizations, and coordinating care with providers to ensure timely scheduling and accurate patient information.

Ideal candidates have at least one year of clinical experience and knowledge of health insurance, with a strong emphasis on professionalism, data entry, and customer service in a healthcare setting.

Qualifications

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

Responsibilities

• Process referrals per department protocols and workflow documents.
• Work referrals within 24 to 48 hours; urgent referrals within 2 hours or the next business day.
• Obtain authorizations and schedule referrals to the correct provider.
• Manage 80 referrals per day and document status and communications.
• Answer phones professionally, greet callers, and document patient interactions.
• Update patient records with demographics, insurance, and contact information.
• Scan or imports necessary information into patient documents.
• Verify insurance and obtain authorizations.

Education

High School diploma

Job description

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 phys

Qualifications

Job Requirements:

• High School diploma required


• One year of clinical experience and health insurance knowledge