Referral Coordinator

The Referral Coordinator is responsible for performing administrative tasks to process referrals for people in need of services, relay important information to companies and organizations, ensure the management of all incoming referrals and obtain insurance authorizations. While this position primarily serves healthcare entities, referral coordinators may also work other services settings as well.

In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.

Culture and Values Expectations

At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission “to deliver quality and compassionate care with outstanding service, every patient, every time”. As a Referral Coordinator at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.

• Integrity: Do the right thing, the right way, every time.
• Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.
• Compassion: Treat everyone with respect and dignity.
• Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.
• Synergy: Collaborate to improve outcomes.
• Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.
• Stewardship: Use resources responsibly and efficiently.
• Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.
  

Essential Job Duties & Responsibilities

• Performs general office duties that require a proficiency in communication an organizational skills
• Provide great customer service
• Demonstrate ability to organize and prioritize work.
• Computer skills and software aptitude
• Communicate effectively with insurance providers, referral sources, HTMG providers and associates on any issues or any need of further follow up
• Knowledge of insurance coding and medical terminology
• Process high volume of referrals to ensure timely transmission and start of services.
• Perform other related duties as indicated by department needs or when requested by manager
• Inspires and collaborate with the staff the ability to be a team player
  
  
  

Experience

• Minimum of one (1) year in the health care industry working in a medical office.
• Prefer a minimum of one (1) year experience and knowledge of processing specialty physician care and ancillary service referrals.
• Must have knowledge of commercial and managed care insurance plans.
• ICD-9 and CPT coding preferred.
• Ability to communicate effectively with individuals at all levels, both oral and written.
• Must be proficient in Microsoft applications including Word, Excel, and PowerPoint.
  
  
  

Education

• High School diploma or GED equivalent or equivalent required.
  
  
  

Knowledge, Skills & Abilities

• Organization skills, able to handle multiple activities with changing priorities.
• Strong written and verbal communication skills.
• Competent in computer skills including MS Word, Excel, and Access.
  
  
  

Work Hours, Travel Requirements

• Monday – Friday, 8:00 a.m. – 5:00 p.m., and as needed to complete projects.
• Travel to medical offices may be necessary for the purpose of providing benefit education.
  
  
  

Working Conditions & Physical Requirements

• Requires prolonged sitting, some bending, stooping and stretching and occasional lifting up to 50 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Standard medical office environment.
  
  
  

Please note this job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee for this job. Job responsibilities, location, work hours, etc., may change at any time with or without notice.