Referral Specialist

Referral Specialist

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.

Our Culture & Core Beliefs

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward

Our Promise

• Purpose Driven Career
• Competitive Pay
• Best-In-Class Medical/Dental Coverage
• Free Mental Health & Life Coaching for Team Members and their Dependents
• Holiday Time Off with Pay
• Paid Community Service Day
• Paid Parental/Family Leave
• Paid Bereavement Leave
• Generous Paid Time Off (PTO)
• 401k Retirement Plan with Company Match
• And much more...

Position Summary

The Referral Specialist processes all referral requests to outpatient centers, specialist offices, or outside services needed. Referral Specialist's serve as a liaison for patient resources. The Referral Specialist will often work closely with insurance companies. The Referral Specialist must be able to take and follow through with delegated tasks and accountability.

Note: This role is hybrid, which will require days in our Spring Branch or Aldine Neighborhood Center and also remote.

Essential responsibilities consist of but not all inclusive:

• Ensures the highest level of customer service possible
• Displays respect and concern for all patients
• Attends all clinic huddles and clinic monthly meetings
• Expediting patient referrals to specialty offices
• Manages patient referrals by processing them and obtaining authorizations in timely manner per company policy.
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Assemble information concerning patient's clinical background and referral needs
• Provide and fax appropriate clinical information to specialist office
• Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists.
• Updates patient information and making changes to EMR platform
• Review details and expectations about the referral with patients.
• Routinely provide patients with other clinic and community-based resource materials as appropriate.
• Other Duties as assigned

What You'll Bring

• 1+ years progressive work experience in the healthcare industry
• 2+ years of customer service
• Experience managing referrals and authorizations
• Experience documenting in electronic medical records
• Comfortable working independently
• Experience in Value-based care operations preferred
• Fluent in Spanish is required

Education, Experience, Licensure, or Certification Requirements

• High School Diploma or GED equivalent required
• Bachelor's Degree in Healthcare Administration, Business, or Hospitality preferred

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.