Bilingual Referral Coordinator

Legacy Community Health•Houston, TX

5d•Onsite

About The Position

At Legacy Community Health, we are more than just a healthcare provider; we are a community dedicated to making a difference. As a Referrals Coordinator, you will be at the heart of our mission, helping patients navigate their healthcare journey with warmth and compassion. Role Highlights: Be the vital link between our clinical staff and external providers, ensuring seamless referrals for our patients. Work Environment: Thrive in a supportive and collaborative team setting where your contributions truly matter. Impact: Play a crucial role in overcoming financial and social barriers to care, ensuring every patient receives the support they need. Growth Opportunities: Engage in continuous learning and personal development within our dynamic healthcare ecosystem. Mission-Driven: Join us in our commitment to providing high-quality, affordable healthcare to the communities we serve.

Requirements

High school diploma or GED.
One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
One year of experience in medical assistance, referral coordinator, insurance verification, or medical prior authorization.
Ability to communicate effectively, both written and orally.
Excellent customer service skills.
Ability to multi task in a fast paced environment.
Excellent organizational skills.
Strong typing and computer skills.
Must be computer savvy with strong MS Office knowledge, including Word, Excel, Outlook, and Power Point.
Professional written and verbal communications skills.

Responsibilities

Review and process all diagnostic, specialty, and miscellaneous referral requests from clinical staff.
Obtain patient insurance verification and authorization for referrals, scheduling appointments as needed.
Conduct phone consultations with clients regarding their referral status.
Handle prior authorization requests from clinical staff efficiently.
Keep accurate records using Centricity EHRS.
Build and maintain strong relationships with providers and referral sources.
Adhere to regulations for a Patient Centered Medical Home and HIPAA Guidelines.
Maintain knowledge of and comply with Medicare/Medicaid regulations.
Ensure proper documentation of service coordination.
Follow up and complete orders for referred patients.
Initiate and complete forms for provider review and signature.
Provide phone contact and motivation for patients needing imaging services and preventative cancer screenings.
Send reminder phone calls and letters to patients.
Set and confirm medical appointments as needed.
Participate in our Performance Improvement Program for care coordination.
Perform other duties as assigned, contributing to the overall success of the team.