Patient Referral Coordinator

Patient Referral Coordinator

Serve as a liaison between insurance and health care providers to ensure the timely coordination, and accurate processing, of patient referrals required for medical specialty visits.

Major/Essential Functions

• Act as a Liaison between patients, providers, and insurance companies to determine patient eligibility for Collaborative Care.
• Obtain pre-authorization information for any patient whose insurance requires pre-approval for care/service.
• Process pre-service insurance verification on new COCM patients.
• Communicate collaboratively between departments to ensure providers, billers, and support staff have all necessary information for a successful patient appointment.

Occasional Duties

As assigned by the Supervisor.

Required Qualifications

• Associate degree plus one (1) year of experience directly related to the processing of patient referrals.
• OR High school diploma or GED plus three (3) years of experience working as a Certified Medical Assistant.
• OR High school diploma or GED plus five (5) years of experience directly related to patient registration, patient scheduling, patient billing/collections, the processing of prior authorizations, and/or the processing of patient referrals.

Preferred Qualifications

• Knowledge of clinical practices and procedures.
• Preferred knowledge of insurance verification and obtaining authorizations for patient care.

Required Attachments

Professional/Personal References, Resume / CV

Benefits

TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:

• Health Plans + Supplemental Coverage Options – Individual health insurance provided at no cost for full-time team members
• Paid Time Off – Including holidays, vacation, sick leave and more
• Retirement Plans
• Wellness Programs
• Certified Mother-Friendly Workplace

Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.

Job Type

Full Time

Pay Basis

Hourly

Pay Grade Minimum

24.00

Pay Grade Maximum

24.00

Pay Statement

Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at

Grant Funded?

Yes

Travel Required

None

Shift

Day

Schedule Details

M-F 8-5PM

Does this position work in a research laboratory?

No

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at