Referral Specialist - FT

Arkansas Heart Hospital, LLC.; United States; On-site; USD 42,000 - 54,000; Full time

Job summary

Arkansas Heart Hospital, LLC seeks a Referral Coordinator to centralize referrals across the organization to improve patient access and reduce claim denials. This role verifies insurance, coordinates appointments with external specialists, updates EHRs, and keeps patients informed about referral status and costs.

The position may also support the pre-authorization team to enhance department efficiency and revenue integrity across referrals.

Qualifications

• High School diploma or GED required.
• Minimum of three years’ experience in patient admissions, registration, or insurance verification.
• Healthcare experience preferred.

Responsibilities

• Insurance verification: contacts health insurance companies to verify coverage, obtain pre-authorizations, and pre-certify procedures.
• Appointment coordination: schedules and tracks patient referrals with external specialists, diagnostic facilities, and community resources.
• Medical record management: updates EHR systems with patient background, referral docs, and test results.
• Patient communication: informs patients about referral status, appointment details, preparation requirements, and out-of-pocket costs.

Skills

Insurance verification

Appointment coordination

Medical records management

Patient communication

Education

High School diploma or GED

Job description

DescriptionPosition SummaryPrimary 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 DutiesInsurance 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.QualificationsQualifications/SpecificationsEducation: 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.