Patient Referral Coordinator - Lifestyle Medicine

About the role

Nationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.

About TTUHSC

Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care – and we believe that our people are the reason for our institution’s lasting success and bright future. Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.

Responsibilities

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.

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure complete and accurate registration, including patient demographics and current insurance information.
• Assemble information on the patient's clinical background and referral needs.
• Per referral guidelines, provide the specialist with appropriate clinical information.
• Contact review organizations and insurance companies to ensure prior approval requirements are met.
• Present necessary medical information such as history, diagnosis, and prognosis.
• Provide specific medical information to financial services to maximize reimbursement.
• Review details and expectations about the referral with patients.
• Assist patients in problem-solving potential issues related to the health care system and financial or social barriers (e.g., requesting interpreters as appropriate, transportation services, or prescription assistance).
• Serve as the system navigator and primary contact for patients and families, allowing them direct access to ask questions and express 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.
• Remind patients of scheduled appointments via, email, mail, or phone.
• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits, and community organizations related to their health.

Occasional travel to different TTUHSC campuses in Midland and Odessa may be required.

Qualifications

Required qualifications include an Associate degree plus one (1) year of experience directly related to the processing of patient referrals, or a High school diploma or GED plus three (3) years of experience working as a Certified Medical Assistant, or a 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 include being bilingual in English/Spanish and having prior experience working with TTUHSC.

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. Benefits include:

• 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.

Pay

Pay Basis: Hourly

Pay Grade: Minimum $18.00, Maximum $21.00

Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan.