Referral Specialist

Arbour SeniorCare

McAllen (TX)

On-site

USD 42,000 - 56,000

Full time

9 days ago

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Benefits offered by this job

Retention Bonus Program

Loan Forgiveness Program

Competitive compensation & generous PA

Excellent medical, dental, vision, and

401(K) with company match

SoFi student loan refinancing

Tuition savings for nursing education

Career development within UHS

Pet Insurance

Job summary

Laredo Physicians Group in Texas seeks a Referral Specialist to manage scheduling referrals, pre-authorizations, and coordination with clinics and patients. You will review clinical data to support medical necessity for insurance companies and align with IPM and UHS standards.

This role emphasizes accurate scheduling, cross-team communication, and adherence to the practice's mission and values, offering growth within a large healthcare network.

Qualifications

High school diploma or GED is required.
Must maintain CPR certification.
Minimum of two years of clinical experience.
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
Knowledge of electronic equipment, computer hardware and software, including applications and programming.
Knowledge of principles and processes for providing customers and personal services, including needs assessment and satisfaction evaluation.
EMR experience.

Responsibilities

Schedule referrals for patients and providers, and pre-authorize/pre-certify tests or procedures.
Schedule other tests with facilities as requested by providers or staff.
Communicate effectively with patients, clinics, and hospitals.
Review clinical data to report medical necessity to insurance companies.

Skills

CPR certification

EMR experience

Administrative & clerical skills

Customer service awareness

Electronic equipment knowledge

Education

High school diploma or GED

Job description

Responsibilities

ABOUT LAREDO PHYSICIANS GROUP

Laredo Physicians Group (LPG) providers take pride in delivering high-quality care for our community. Our offices offer primary care and various specialty services. LPG is committed to providing superior quality healthcare services while demonstrating professionalism and service excellence to ensure a great patient experience. Our physicians are well experienced, and with diverse backgrounds, they share a passion for serving the healthcare needs of families. LPG is affiliated with Doctors Hospital of Laredo, whose care network encompasses two freestanding emergency rooms, and an outpatient clinic with ancillary and surgical services.
Website: www.laredophysiciansgroup.com

The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures Scheduling of other tests with facilities at the request of providers and/or staff. Communicates effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision, and values of the practice.

Responsible for scheduling referrals for patients, providers, pre-authorizing & pre-certing tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff.
Directly communicates with the clinics, referred to clinics, and patients.
Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision, and values of the practice.

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

Benefit and Rewards Highlights

Retention Bonus Program if offered.
Loan Forgiveness Program if offered.
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Tuition savings to continue your nursing education with Chamberlain University
Career development opportunities within UHS and its 300+ Subsidiaries!
Pet Insurance
More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

Qualifications

Requirements:

High school diploma or GED required
Must maintain CPR certification
Minimum of two years of clinical experience required.
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
Knowledge of electronic equipment, computer hardware and software, including applications and programming.
Knowledge of principles and processes for providing customers and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
EMR Experience

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.