Catholic Health Initiatives Referral Specialist - (Centralized Scheduling) - The Woodlands in THE WOODLANDS, Texas

Referral Specialist - (Centralized Scheduling) - The Woodlands


Job Summary:

The Referral Specialist works with patients requiring a referral,

to ensure patient’s referral needs are fulfilled for specialty service office

visits. Processes referrals, authorizations and pre-certifications for

patients, to ensure timely reimbursement.


Minimum Requirements:

Education and Licensure (required and preferred)

  • Highschool diploma or equivalent required.

Experience (required and preferred)

  • 2years of progressively responsible related experience in a healthcareenvironment required.

Essential Duties:

  • Gather, verify, and

process referrals, authorizations, and pre-certifications by working closely

with physician(s), patients, and payers.

  • Communicate detailed information and answers patients' questions regarding

their health care plan; provide answers to billing and insurance clarification


  • Set up appointments, coordinate clinic visits, and any special arrangements

such as transportation, interpreter services, specialty care, etc.

  • Coordinate flow of information between medical clinic and referral

authorization department to secure a valid referral for clinic patient.

  • Enter referrals, documents communications and action into the system, as


  • Notify physician(s) and patient when referral is denied, or if additional

information is needed.

  • Develop and maintain database of referral physician offices preferred by each

physician within the clinic.

  • Assist Practice Manager with complaint resolution and solutions related to

patient referrals.

  • Perform other duties as assigned by the practice manager or physician.

Job Administrative/Clerical


Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0139566