Referral Specialist

Tyler Family Circle Of; Tyler (TX); On-site; USD 25,000 - 33,000; Full time

Job summary

Family Circle of Care in Tyler, TX is seeking a dependable Referrals Specialist to coordinate patient referrals, communicate with providers and patients, and ensure timely processing of referrals. You will verify insurance, obtain authorizations, and schedule specialty appointments, while maintaining EMR records with confidentiality and exceptional customer service.

In this fast-paced healthcare role, you will work collaboratively with clinical staff to support continuity of care and efficient

Qualifications

• High school diploma or equivalent required.
• Strong organizational skills with ability to manage multiple priorities.
• Excellent verbal and written communication skills.
• Attention to detail and accurate documentation.
• Proficiency with computers including Microsoft Word and Excel.
• Ability to work independently while collaborating with team.
• Commitment to patient confidentiality and customer service.

Responsibilities

• Receive, review, and process incoming and outgoing patient referrals from physicians' offices, hospitals, specialists, and other healthcare providers.
• Communicate with patients, providers, and referral sources by phone, fax, and electronic systems to coordinate referral requests.
• Verify patient insurance coverage, referral requirements, and eligibility for specialty services.
• Obtain and process insurance referrals and prior authorizations as required by plans.
• Coordinate and assist with scheduling specialty appointments and diagnostic testing.
• Track referrals from initiation through appointment completion and follow up on pending items.
• Document referral information, authorization details, and appointment updates in the EMR system.
• Maintain organized referral records to support timely processing and continuity of care.

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Referral Specialist

Admin & General Full Time Clerical Corporate Headquarters Tyler, TX, US

2 days ago Requisition ID: 1549

Family Circle of Care is looking for a dependable and compassionate Referrals Specialistto join our team!

In this role, you will play an important part in coordinating patient care by managing incoming and outgoing referrals, communicating with healthcare providers and patients, and ensuring referrals are processed accurately and in a timely manner.

We are looking for someone who thrives in a fast-paced healthcare environment, enjoys working collaboratively with others, and takes pride in providing excellent customer service. If you have strong communication skills, excellent attention to detail, and a commitment to helping patients navigate their healthcare needs, we would love to hear from you!

What You’ll Do

Receive, review, and process incoming and outgoing patient referrals from physicians' offices, hospitals, specialists, and other healthcare providers.

Communicate with patients, providers, and referral sources by phone, fax, and electronic systems to coordinate referral requests.

Verify patient insurance coverage, referral requirements, and eligibility for specialty services.

Obtain and process insurance referrals and prior authorizations as required by insurance plans and specialty providers.

Coordinate and assist with scheduling specialty appointments, diagnostic testing, and other referred healthcare services.

Track and monitor referrals from initiation through appointment completion, following up on outstanding referrals, missed appointments, and pending documentation to support continuity of care.

Contact referring providers, hospital staff, or patients to obtain missing documentation, clarify information, and ensure referral requests are complete and accurate.

Accurately document referral information, authorization details, appointment updates, and referral outcomes in the Electronic Medical Record (EMR) system.

Maintain organized and up-to-date referral records to support timely processing and continuity of patient care.

Identify potential delays or barriers in the referral process and work collaboratively with patients, providers, and clinical staff to resolve issues.

Collaborate with clinical staff, providers, and other departments to support effective communication and coordination of care.

Participate in team huddles and departmental activities to promote teamwork and improve patient care processes.

Provide exceptional customer service while maintaining professionalism, confidentiality, and compassion in all interactions.

Follow organizational policies, HIPAA regulations, and applicable healthcare compliance standards to protect patient information.

Assist clinical and administrative staff with additional responsibilities as needed to support daily operations.

Required Qualifications:

High school diploma or equivalent.

Strong organizational skills with the ability to manage multiple priorities and maintain accuracy in a fast-paced environment.

Excellent verbal and written communication skills.

Strong attention to detail and the ability to accurately document and maintain patient information.

Proficiency with computers and general office applications, including Microsoft Word and Excel.

Ability to work independently while collaborating effectively with providers, clinical staff, and other team members.

Commitment to maintaining patient confidentiality and providing excellent customer service.

Preferred Qualifications:

Previous experience in a healthcare setting, medical office, or referral coordination role.

Knowledge of medical terminology, insurance verification, prior authorizations, and healthcare referral processes.

Experience coordinating specialty appointments and tracking patient referrals.

Experience working with Electronic Medical Record (EMR) systems, preferably Epic.

Family Circle of Care values our employees and is pleased to offer a comprehensive benefits package designed to support your health, well-being, and financial future.

Medical & Supplemental Benefits

Medical Insurance

Vision Insurance

Short-Term and Long-Term Disability

Life Insurance

Health Savings Account (HSA) and Flexible Spending Account (FSA) options

Retirement Savings

403(b) Retirement Savings Plan

Company Match up to 5%

Paid Time Off

10 Paid Holidays

Generous Paid Time Off

Additional Benefits

Employee wellness initiatives and resources

Employee assistance and support resources

Why Join Family Circle of Care?

At Family Circle of Care, we believe everyone deserves access to quality, compassionate healthcare. As a Federally Qualified Health Center (FQHC), we are committed to improving the health and well-being of individuals and families throughout East Texas.

When you join our team, you become part of a mission-driven organization that values teamwork, collaboration, and making a meaningful difference in the communities we serve.

As a Referrals Specialist, your work will directly support our patients by helping connect them with the healthcare services they need. You'll have the opportunity to work alongside dedicated healthcare professionals in an environment focused on quality care, respect, and continuous improvement.

Family Circle of Care is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all qualified applicants without regard to any status protected by applicable law. Reasonable accommodations are available to qualified individuals with disabilities.