Referral Coordinator (32635)

GI Alliance; Houston (TX); On-site; USD 36,000 - 52,000; Full time

Job summary

GI Alliance in Houston is seeking a Referral Coordinator to facilitate referrals and ensure timely access to specialty care. The role requires strong organizational and communication skills and a commitment to patient satisfaction.

Responsibilities include managing referrals, verifying eligibility, scheduling appointments with specialists, educating patients, and maintaining accurate electronic records in a compliant environment.

Qualifications

• High School diploma or GED required.
• Minimum of two years of pre-certification experience.
• Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
• Experience with referral management systems is a plus.

Responsibilities

• Referral Management: receive and review referrals, verify eligibility and ensure complete documentation.
• Coordination and Scheduling: schedule appointments with specialist providers and relay details to patients.
• Patient Communication: act as primary contact for patient inquiries and assist with paperwork.
• Documentation and Record Keeping: maintain electronic records of referrals, authorizations, and interactions.
• Quality Assurance: ensure compliance with clinic policies and regulatory guidelines.
• Light data entry and other related office duties.
• Other duties as assigned.

Skills

Communication skills

Medical terminology

ICD-10 & CPT-4 codes

Referral software (Leading Reach)

Education

High School diploma or GED

Tools

Leading Reach

Job description

Position purpose

The Referral Coordinator plays a crucial role in facilitating the referral process, ensuring that patients receive timely access to specialty care and services. This position requires excellent organizational and communication skills, as well as strong commitment to patient satisfaction

Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Referral Management:
• Receive and review referral requests from primary care physicians and other healthcare providers via fax and referral software management systems (ie: Leading Reach)
• Verify insurance and eligibility information for referred patients.
• Ensure that all referral documentation is complete and accurate.
• Coordination and Scheduling:
• Coordinate and schedule appointments for referred patients with our specialist providers.
• Communicate appointment details and instructions to patients, including any necessary preparations.
• Patient Communication:
• Act as the primary point of contact for referred patients, addressing their inquiries and concerns promptly and professionally.
• Educate patients on the referral process and assist with any required paperwork.
• Documentation and Record Keeping:
• Maintain accurate and organized electronic records of referrals, authorizations, and patient interactions.
• Maintain communication with referring providers regarding status of referrals
• Prepare and submit necessary reports to clinic management.
• Quality Assurance:
• Ensure that all referral processes adhere to clinic policies and regulatory guidelines.
• Continuously assess and improve referral coordination procedures for maximum efficiency and patient satisfaction.
• Light data entry and other related office duties.
• Other duties as assigned.

Education

High School diploma or GED.

Experience

Minimum of two (2) years of pre-certification experience required.

Requirements For Level I Status

• Entry level (1-4 years’ experience) and/or meet the basic requirements of the job with the need for additional supervision.
• Excess of 4 years’ experience if meeting only the basic requirements of the job with need for additional supervision.

Additional Qualifications

Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.

Performance Requirements

• Excellent communication skills, both written and verbal.
• Proficient technical (computer) skills.
• Ability to multi-task and prioritize.
• Self-motivated with initiative.
• Strong sense of ethics.