Referral Specialist

About the role

The Referral Specialist at Suvida Healthcare processes all referral requests to outpatient centers, specialist offices, or outside services needed. They serve as a liaison for patient resources and often work closely with insurance companies.

Responsibilities

• Ensures the highest level of customer service possible
• Attends all clinic huddles and clinic monthly meetings
• Expediting patient referrals to specialty offices
• Manages patient referrals by processing them and obtaining authorizations in a timely manner per company policy
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Assembles information concerning patient’s clinical background and referral needs
• Provides and fax appropriate clinical information to specialist office
• Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists
• Updates patient information and makes changes to EMR platform
• Reviews details and expectations about the referral with patients
• Routinely provide patients with other clinic and community-based resource materials as appropriate

Requirements

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

Qualifications

• A high school diploma or GED equivalent
• A bachelor's degree in Healthcare Administration, Business, or Hospitality preferred

Skills

• Excellent communication skills
• Strong organizational and time management skills
• Ability to work independently and manage multiple tasks simultaneously
• Knowledge of electronic medical records systems

Benefits

• 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)
• 401(k) retirement plan with company match

Pay

Details on pay are not specified in this job posting.

Schedule

This role is hybrid, requiring days in our Spring Branch or Aldine Neighborhood Center and also remote.