Referral Coordinator

About the Role

Join our team as a day shift, full-time, Referral Coordinator in Tyler, TX.

Why Join Us

Thrive in a People-First Environment and Make Healthcare Better: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. We use advanced technology to support our team and enhance patient care.

UT Health East Texas Physicians has 90 primary and specialty care clinics and eight urgent care centers in communities across the region. Affiliated with The University of Texas at Tyler School of Medicine, we provide top-tier education, innovative research, and residency programs training future medical leaders.

Responsibilities

• Work referrals based on department protocols (see attached Visio documents outlining the workflow for internal, incoming, and outgoing referrals).
• Work referrals 24 to 48 hours upon receipt; urgent referrals are worked within 2 hours or the next business day.
• Work WQ assignment is based on need and can be very fluid every day.
• Adhere to workflows designed to be efficient and effective to ensure continuity of care and meet the level of expectations of referring provider (see attached Visio documents outlining expected workflow).
• Meet department productivity standards determined by the type of work assigned — expected to work 80 referrals a day (work defined as transitioning the referral to its destination if it is outgoing, or scheduling the patient with the correct specialty/provider, acquiring an insurance authorization, and confirming the information with the patient; also includes adding a note about the status of the referral or communication with the patient or provider's office).
• Authorize referral with insurance, schedule patient with appropriate provider based on referred to provider, patient choice or recommendations from referral coordinator, and document all appropriate/necessary information in referral to complete it.
• Answer phones in a timely yet professional manner, including your first name and a greeting appropriate to the time of day; use the patient's name as much as possible and thank them for calling when done. Voice mail greeting is professional and customer focused; return VMs within 24 hours and update notes in the referral.
• Data entry of patient health information and demographics, including adding or updating insurance, updating patient demographics, address, emails, phone numbers, etc.
• Provide direction and assistance to all as needed.
• Scan or import necessary information into patient documents.
• Verify insurance and obtain authorizations.
• Accurately document patient records.
• Maintain a constructive working relationship with physicians and staff.

Qualifications

• High School diploma required.
• One year of clinical experience and health insurance knowledge.