Referral & Insurance Authorization Specialist

CHRISTUS Health; Mount Pleasant (TX); On-site; USD 42,000 - 52,000; Full time

Job summary

CHRISTUS Health in Mount Pleasant, TX seeks a referral coordinator to manage the entire referral workflow, including obtaining physician orders, insurance authorizations, and scheduling with in-network providers. The role supports accurate CPT/ICD-9 coding and communicates changes in insurance plans to staff and physicians.

Applicants should have a clinical background and 1–3 years of experience in referrals, with strong collaboration across physicians, nursing associates, and payors.

Qualifications

• Experience coordinating referrals or authorization processes.
• Knowledge of CPT and ICD-9 coding used for referrals.
• Ability to communicate with physicians, patients and payors clearly.

Responsibilities

• Coordinate the referral process from physician to payor.
• Schedule patient appointments with providers who accept the insurance.
• Notify patients of appointments and renewal authorizations with payors.
• Educate nursing staff and physicians about changes in insurance plans.

Skills

Referral coordination

Insurance authorizations

Education

High School Diploma or equivalent

Job description

CHRISTUS Health in Mount Pleasant, TX seeks a referral coordinator to manage the entire referral workflow, including obtaining physician orders, insurance authorizations, and scheduling with in-network providers. The role supports accurate CPT/ICD-9 coding and communicates changes in insurance plans to staff and physicians.

Applicants should have a clinical background and 1–3 years of experience in referrals, with strong collaboration across physicians, nursing associates, and payors.