Referral Specialist – FT

Arkansas Heart Hospital, LLC.; Little Rock (AR); On-site; USD 38,000 - 52,000; Full time

Job summary

Arkansas Heart Hospital, LLC. is seeking a referrals coordinator to centralize processing across the organization. You will verify insurance, coordinate appointments with specialists, and update EHRs to ensure timely patient access and reduce denials.

The role involves clear patient communication about referrals and costs, with room to cross-train to pre-authorization duties to support department efficiency.

Qualifications

• Minimum of three years’ experience in a related field (i.e., patient admissions, registration, insurance verification).
• Previous healthcare experience preferred.
• Education: High School diploma or GED required.

Responsibilities

• Insurance verification: verify coverage, obtain pre-authorizations, and pre-certify procedures.
• Appointment coordination: schedule and track patient referrals with external specialists, diagnostic facilities, and community resources.
• Medical record management: update EHR with patient clinical background, referral documentation, and test results.
• Patient communication: inform patients about referral status, appointment details, preparation requirements, and any out-of-pocket cost.

Skills

Communication skills

Attention to detail

Customer service

Education

High School diploma or GED

Tools

EHR systems

Job description

Primary focus to centrally manager referrals across the organization. Ensure timely and accurate processing of referrals, improve coordinator of care, and reduce delays in patient access. This position will have a direct positive impact on revenue integrity by ensuring that all required referrals are secured prior to the patient’s arrival, thereby reducing the risk of claim denials and lost revenue. This position will cross-train to support the pre-authorization team, providing flexibility to address the volume of authorization requirements and strengthening overall department efficiency.

Primary Duties

• Insurance Verification: Contacts health insurance companies to verify coverage, obtain pre-authorizations, and pre-certify specific procedures.
• Appointment Coordination: Schedules and tracks patient referrals with external specialists, diagnostic facilities, and community resource organizations.
• Medical Record Management: Updates Electronic Health Record (EHR) systems with patient clinical background, referral documentation, and test results.
• Patient Communication: Informs patients about their referral status, appointment details, preparation requirements, and any out-of-pocket cost.

Qualifications/Specifications

• Education: High School diploma or GED required.
• Licensure/Certification: None required.
• Experience: Minimum of three years’ experience in a related field (i.e., patient admissions, registration, insurance verification). Previous healthcare experience preferred.