Referral Coordinator (Full-Time) (Houston)

Texas Regional Physicians•Hunters Creek Village, TX

About The Position

Texas Regional Physicians is a patient-focused, state-of-the-art medical practice providing care across specialties including pain management and orthopedics. Its integrated model coordinates care in one location to reduce unnecessary visits and improve outcomes. The Referral Coordinator is responsible for facilitating patient referrals, maintaining accurate referral documentation and registration information, and coordinating with specialists, patients, review organizations, insurance companies, and financial services. The role also requires entering data into a health information system and protecting confidential patient information.

Requirements

Experience with medical terminology and workers’ compensation processes.
High school diploma.
At least one year of current experience within the last three years in a comparable role, unless otherwise indicated.
Proficiency in internet use, email, Microsoft Office, and data entry.
Knowledge of and compliance with HIPAA regulations, including the ability to maintain strict confidentiality of patient and client information.
Ability to pass state and federal background security checks.
Ability to work effectively independently and as part of a team.
Strong organizational skills and ability to complete work accurately and in a timely manner.
Ability to read, write, and communicate effectively in English.
Demonstrated understanding of medical and surgical terminology.

Nice To Haves

Associate degree and/or certificate in a related field.
Two years of medical clinic administrative or medical experience.

Responsibilities

Expedite patient referrals to specialty offices.
Complete referral requests as needed.
Fax and send medical records to departments for processing.
Track referrals and maintain appropriate documentation to support team awareness and patient safety.
Ensure complete and accurate patient registration, including demographic and current insurance information.
Assemble information about patients’ clinical backgrounds and referral needs.
Provide appropriate clinical information to specialists.
Contact review organizations and insurance companies to ensure prior approval requirements are met.
Provide medical information to financial services to support reimbursement to the hospital and physicians.
Review referral details and expectations with patients.