Patient Review and Referral Coordinator

Position Overview

Ultimate Staffing Services is actively seeking a dedicated Patient Review and Referral Coordinator for their client's healthcare team in Texas. This role is pivotal in ensuring the timely and accurate coordination of patient care, acting as a bridge between patients, providers, and external healthcare partners. The position requires a bilingual professional fluent in both English and Spanish to manage referrals and navigate insurance requirements while supporting clinical teams through excellent communication and administrative skills.

Responsibilities

• Receive, review, and process referrals from providers and clinics.
• Verify patient insurance coverage and secure necessary authorizations or pre-certifications.
• Schedule appointments with specialists or external providers and communicate details to patients.
• Maintain complete, accurate records within the Electronic Health Record (EHR) system.
• Conduct follow-ups on pending referrals and ensure all required documentation is completed.
• Communicate professionally with patients, providers, and insurance companies.
• Ensure compliance with HIPAA and all relevant healthcare regulations.
• Provide administrative support to clinical teams as necessary.
• Handle a high volume of calls and emails, ensuring a positive HR experience with every employee.

Technical & Software Requirements

The role requires frequent handling of intake, scheduling, and detailed chart reviews. Candidates must be comfortable navigating clinical information and processing large volumes of data.

Daily tools include:

• SharePoint
• NextGen
• Microsoft Teams
• Microsoft Outlook, Windows, and Excel
• Multiple databases and healthcare software systems

Required Qualifications

• High school diploma or equivalent (Associate degree in healthcare administration or related field preferred).
• Minimum 1 year of medical/healthcare experience, preferably in referrals, scheduling, intake, or clinic/hospital environments.
• Bilingual in English and Spanish (written and verbal).
• Experience verifying insurance and processing referrals.
• Familiarity with EHR systems and strong general computer proficiency.
• Excellent customer service skills and ability to work with diverse patient populations.
• Strong communication and organizational skills.
• Ability to manage multiple tasks efficiently in a high-volume environment.

Ideal Candidate Snapshot

A successful candidate for this role is:

• Highly detail-oriented and thrives in structured, repetitive workflows.
• Comfortable reviewing charts and navigating multiple software systems.
• Professional, patient-focused, and able to communicate clearly in both English and Spanish.
• Reliable, adaptable, and able to maintain focus in a task-driven environment.
• Experienced in healthcare office operations, referrals, or appointment coordination.

Work Hours

Monday to Friday, first shift.

Benefits

Competitive salary range from $18.50 to $21.00 per hour.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.