South Texas Health System Clinics ยท 3 weeks ago
Referral Specialist
Edinburg, TX
Full-time
Onsite
Entry Level
1+ years expSouth Texas Health System Clinics is committed to delivering quality healthcare and service excellence. The Referral Specialist is responsible for scheduling referrals for patients and providers, pre-authorizing tests, and communicating effectively with patients and clinics.
Health CareHospitalTherapeutics
Responsibilities
Schedules tests and referral appointments within 24 hours from receiving the physician order. Notifies patients within 24 hours of their appointment. Pre-certify appropriate tests with insurance companies within 48 hours of physician order. Communicate pre-certification results to the patient and/or office in a timely matter
Communicates effectively with patients, clinics, and hospital. Communicates information to appropriate areas, departments, and individuals. Addresses patients in a polite, prompt, and helpful manner. Answers the phone within four (4) rings in a courteous manner identifying self and department
Demonstrates knowledge and skills to operate EMR software efficiently and effectively. Uses referral tool in EMR for all documentation. Demonstrates knowledge of computer downtime procedures
Maintains a clean and orderly office and waiting area. Orders supplies for the office within budgetary guidelines. Returns all emails within 48 hours
Other duties as assigned
Qualification
Required
High school graduate or GED required
Minimum of 1-3 years of experience in a healthcare or clinical setting
Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance
Typing, 10 key, and computer skills required
Proficiency in Microsoft Office applications required
Patient Management, Billing and Managed Care system processes competency
Understanding of functions and workflow of Clinical/Hospital departments
Preferred
Knowledge of regulations and HIPAA privacy standards is strongly preferred
Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals is preferred
Knowledge of third-party reimbursement regulations is preferred
Benefits
Retention Bonus Program if offered.
Loan Forgiveness Program if offered.
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
Company
South Texas Health System Clinics
South Texas Health System Clinics provides general surgery, occupational medicine, and rehabilitation therapy services.
11-50 employees
H1B Sponsorship
South Texas Health System Clinics has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2022 (1)
2021 (2)
2020 (1)
Funding
Current Stage
Early StageCompany data provided by crunchbase