Referral Coordinator - Central Billing Office (43208)

Job Title: Referral Coordinator

Department: Central Billing Office (CBO)
Location: On-site training in Mesquite billing office, then fully remote
Reports To: CBO Manager
FLSA Status: Non-Exempt
Employment Type: Full-Time

Position Summary

The Referral Coordinator is responsible for ensuring all required patient referrals are obtained, verified, and documented prior to scheduled services. This role plays a critical part in supporting revenue cycle operations by preventing delays in care and reducing claim denials related to missing or incomplete referrals.

This position requires strong communication skills, attention to detail, and the ability to collaborate with patients, provider offices, and internal teams.

Essential Duties & Responsibilities

Referral Management (Primary Function)

• Verify whether active referrals are on file using payer portals, EMR systems, and internal tools
• Contact Primary Care Physician (PCP) offices to request and obtain referrals
• Proactively reach out to patients regarding referral status prior to appointments, procedures, or surgeries
• Ensure all referrals are accurate, valid, and aligned with scheduled services

Documentation & Communication

• Maintain detailed and accurate documentation of all outreach efforts
• Record communications with PCP offices, patients, and payers in the system
• Escalate issues impacting patient scheduling or care in a timely manner

Insurance Verification (as needed)

• Verify eligibility and benefits via payer portals or phone
• Document coverage details in the practice management system
• Communicate patient financial responsibility when applicable
• Identify outstanding balances and notify appropriate teams

Department Support

• Answer incoming calls and assist with patient inquiries related to referrals or benefits
• Provide cross-coverage for scheduling or departmental needs
• Participate in administrative duties (fax processing, shared responsibilities, etc.)

Work Environment & Physical Demands

• Primarily sedentary, office-based role
• Frequent use of computer, phone, and office systems
• Minimal lifting requirements
• No travel required

Disclaimer

This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required. UCNT reserves the right to modify this position at any time.

Position Requirements

Education & Experience

• High School Diploma or equivalent required
• Minimum 1 year of healthcare experience preferred
• Experience with insurance verification and referral processes strongly preferred

Knowledge, Skills & Abilities

• Strong verbal and written communication skills
• Ability to multitask in a fast-paced environment
• Detail-oriented with strong organizational skills
• Basic math and problem-solving abilities
• Team-oriented with a positive, patient-focused attitude
• Knowledge of medical terminology (urology preferred)