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Referrals Coordinator

Job Title
Referrals Coordinator
Job ID
Conroe,  TX 77304
Other Location
The Referral Coordinator will be responsible for the administrative and technical support of the clinic professional staff.

Standard hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m.

Essential Duties and Responsibilities: 
  • Answer incoming calls for referral/authorization requests.
  • Enter the authorization data into the system as received from the provider and assigning the authorization number for tracking purposes.
  • Coordinate the information transfer between Lone Star providers and patient’s health plans as it relates to eligibility and benefit coverage via telephone, electronic, or fax communications.
  • Participate in an ongoing education program for facilitating the referrals/authorizations process with both internal and external clients.
  • Work with providers to meet payors’ documentation requirements for covered services 
  • Determine patient’s financial responsibility for ancillary and contracted services and facilitating the processing and ordering of durable medical equipment, home health, prosthetics/orthotics, and ambulance services.
  • Obtain information regarding member/patient and provider concerns and referring to the appropriate party.
  • Assist with patient scheduling of tests and treatments.
  • Compile and condense technical and statistical data for reports and records.
Education and Experience:

Bilingual – English and Spanish required.
High School graduate (or GED).
Minimum of 1 year of work experience in a healthcare setting.
Working knowledge of medical terminology and ICD-10 Codes/CPT preferred.

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Lone Star Family Health Center receives HHS funding and has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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