Patient Referral Coordinator

Texas Tech University

El Paso, TX

JOB DETAILS
SKILLS
Certified Medical Assistant, Click Through Rate (CTR), Consulting, Credit and Collections, English Language, Establish Priorities, Federal Laws and Regulations, Financial Aid, HIPAA (Health Insurance Portability and Accountability Act), Health Science, Healthcare, Healthcare Providers, High School Diploma, Insurance, Maintain Compliance, Medical Billing, Medical Record System, Medical Treatment, Multilingual, Organizational Skills, Patient Education, Patient Follow-up, Patient Registration, Problem Solving Skills, Regulatory Compliance, Security Policy, Spanish Language, Statistics, Team Player, Time Management
LOCATION
El Paso, TX
POSTED
11 days ago

914940No5625414010.00.005/27/2026Patient Referral CoordinatorTexas Tech Unv Hlth Sci Ctr El Paso Serve as a liaison between insurance and healthcare providers to ensure the timely coordination, and accurate processing, of patient referrals required for medical specialty visits.44934BRUp to 25%

  • Prioritize referrals by following and applying standard policies, procedures and practices.
  • Employ multiple tracking mechanisms to ensure all referral approvals have been received, and the patient receives their appointment in a timely manner.
  • Ensure patients are always cleared for their appointment prior to their arrival.
  • Enter progress notes and other pertinent information into the electronic health record (EHR) based on application of departmental practices, policies and procedures.
  • Review referrals to confirm or obtain insurance authorization. Notify referring provider/service, and return referrals missing required prior authorization.
  • Identify, by applying knowledge of provider sub-specialties, the appropriate provider with whom to make an appointment.
  • Schedule required ancillary services needed to prepare for patient appointments. Follow up with patient to ensure completeness.
  • Determine if preliminary testing (i.e., imaging) is needed based on established departmental practices and procedures. Responsible for explaining to patient, assisting with scheduling and for completeness prior to office visit.
  • Review details and expectations about the referral with patients. Provide education to patients about available payment options in the event the provider does not participate in their insurance.
  • Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
  • Act as the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns.
  • May assume advocate role on the patient''s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
  • Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
  • Ensure that referrals are addressed in a timely manner, and in accordance to departmental expectations/requirements.
  • Ensure that patient''s electronic health record (EHR) is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.
  • Consistently practice and ensure compliance with all HIPAA regulations and confidentiality guidelines.
  • Provide occasional cross-coverage to the Prior Authorization team to ensure operational needs are met.
  • Remain current with all licensure, certifications and mandatory compliances and trainings required of this position.
  • Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.).
  • Personally, and consistently, demonstrate, display and act in accordance with Texas Tech Health El Paso's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value''s leader while actively promoting and encouraging staff across the institution.
  • Perform all other duties as assigned.

No Compensation is commensurate upon the qualifications of the individual selectedHourly El Paso

  • Previous experience processing patient referrals.
  • Previous experience providing patient financial counseling.
  • Previous experience working in an academic medical/health sciences center.
  • Bilingual: English and Spanish

HSC - El Paso RMS Referral Management System Resume / CV, TranscriptFull Time 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.Information and Records Clerks DayAll qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

  • Associate's 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.

No 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.

About the Company

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Texas Tech University