Referral Coordinator (69272)

Sanitas; Katy (TX); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Sanitas in Houston region is seeking a Referral Coordinator to manage referrals, obtain prior authorizations, process referrals, and schedule specialists for patients. The role supports continuity of care within a hybrid work setting.

The ideal candidate has at least one year of experience with referrals or medical office settings, proficiency in Microsoft Office, and strong communication skills. Spanish or Creole language skills are a plus.

Qualifications

• Proficient with Microsoft Office Suite or related software.
• Excellent verbal and written communication skills.
• Excellent customer service skills.
• Excellent organizational skills and attention to detail.

Responsibilities

• 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.

Skills

MS Office

Communication

Customer service

Organization

Education

High school diploma or equivalent

Tools

EMR systems

Job description

Job Details

Job Location: Houston Region - Ft Bend - Katy, TX 77494, Position Type: Full Time, Travel Percentage: Up to 5%, Job Shift: Hybrid, “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 ourpatients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of ourpatients and their families creating a memorableexperiencethrough compassion, respect,and kindness.”

Job Summary

The 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 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.

Qualifications: Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Education

• High school diploma or equivalent.

Required Experience

• Minimum requirement of one year work experience with referrals, or related medical office experience. Experience with EMR systems is preferred.

Required Licenses and Certifications

N/A

Required Knowledge, Skills, and Abilities

• Proficient 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 Qualifications

• Experience with EMR systems preferred.

Financial Responsibilities

This position does not currently handle physical money or negotiates contracts.

N/A

Budget Responsibilities

This position does not have budget responsibilities.

N/A

Languages

• English Advanced
• Spanish Preferred
• Creole Preferred

Travel

Not required

N/A

Physical Demands

The 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 Conditions

Inside: 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 Activities

• Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences).
• May be exposed to outdoor weather conditions of cold, heat, wet, and humidity.
• May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists.
• Must be able to ascend and descend ladders, stairs, or other equipment.
• Subject to exposure to hazardous material.