Referral Specialist

CHI; Omaha (NE); Hybrid; USD 22,000 - 31,000; Full time

Job summary

CHI Health Clinic is seeking a Referral Specialist to optimize patient access by coordinating between clinical departments, providers, and patients. You will manage referrals in the EMR, validate pre-authorizations, and ensure documentation is accurately routed across the network.

You will collaborate with revenue cycle and clinical staff, track performance metrics, and maintain HIPAA regulatory compliance.

Qualifications

• High school graduate with at least 1 year healthcare scheduling/EMR experience.
• Proficiency in Google Suite or Microsoft Office.
• Foundational knowledge of medical terminology and HIPAA regulations.

Responsibilities

• Manage referral work queues in the EMR and validate pre-authorizations.
• Coordinate with patients and representatives to gather demographics and appointment preferences.
• Collaborate with revenue cycle and clinical staff to address access barriers.
• Track performance metrics and ensure regulatory compliance.

Skills

Healthcare scheduling

EMR systems

HIPAA compliance

Patient communication

Attention to detail

Education

High School Diploma / GED

Tools

Microsoft Office

Google Suite

EMR software

Job description

Job Summary And Responsibilities
As our Referral Specialist, you will play a pivotal role in optimizing patient access to care by facilitating seamless coordination between clinical departments, providers, and patients. You will serve as a key administrative partner, ensuring that internal and external referrals are managed with precision to enhance the overall patient experience. By bridging the gap between referring clinicians and specialty care teams, you will help maintain continuity of care and ensure that essential documentation is accurately routed across our healthcare network.

Job Summary And Responsibilities
Every day you will manage complex referral work queues within the Electronic Medical Record (EMR) system, validating pre-authorizations and ensuring all orders meet clinical standards. You will act as a dedicated patient advocate, communicating with patients and representatives to gather necessary demographic information and coordinate appointment preferences. Your daily responsibilities will also include collaborating with revenue cycle and clinical staff, identifying potential access barriers, and tracking performance metrics to ensure efficient referral management and full regulatory compliance. To be successful in this role, you will possess at least one year of healthcare-related experience, specifically involving medical scheduling and EMR utilization. Candidates must demonstrate proficiency in Microsoft Office or Google Suite and maintain a foundational knowledge of medical terminology and HIPAA regulations. With your strong verbal and written communication skills and commitment to exceptional customer service, you will thrive in our collaborative, fast-paced environment while supporting our mission to provide high-quality, accessible care.

Required
Job Requirements

• High School Graduate /GED and Minimum of one year healthcare related experience, preferably in a position involving scheduling and EMR utilization, upon hire and
• Experience with Google Suite or Microsoft Office products

Where You'll Work
From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Local Candidates Only - Remote Eligible after Onsite Training

Pay Range
$15.67 - $22.14 /hour