Referral Specialist

Who We AreAt Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences,  shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered,  and more compassionate healthcare family and Employer of Choice!  Will you join usSuvidanos, to help achieve our Higher Purpose?What Makes Us UniqueWe are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.How We WorkOur Culture & Core BeliefsEarn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving ForwardOur PromisePurpose Driven CareerCompetitive PayBest-In-Class Medical/Dental CoverageFree Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid Bereavement LeaveGenerous Paid Time Off (PTO)401k Retirement Plan with Company MatchAnd much more....

What You’ll DoPosition SummaryThe Referral Specialist processes all referral requests to outpatient centers, specialist offices, or outside services needed. ReferralSpecialist’sserve as a liaison for patient resources. The Referral Specialist will often work closely with insurance companies. The Referral Specialist must be able to take and follow through with delegated tasks and accountability.Note: This role is hybrid, which will require days in our Spring Branch or Aldine Neighborhood Center and also remote.Essential responsibilities consist of but not all inclusive:Ensures the highest level of customer service possibleDisplays respect and concern for all patientsAttends all clinic huddles and clinic monthly meetingsExpediting patient referrals to specialty officesManages patient referrals by processing them and obtaining authorizations intimelymanner per company policy.Maintain ongoing tracking andappropriate documentationon referrals to promote team awareness and ensure patient safetyEnsure complete andaccurateregistration, including patient demographic and current insurance informationAssemble information concerning patient’s clinical background and referral needsProvide and faxappropriate clinicalinformation to specialist officeSchedule, problem solve, communicate, and coordinate referral appointments with outside specialists.Updates patient information and making changes to EMR platformReview details and expectations about the referral with patients.Routinely provide patients with other clinic and community-based resource materials asappropriate.Other Duties as assignedWhat You’ll Bring1+ years progressive work experience in the healthcare industry2+ years of customer serviceExperience managing referrals andauthorizationsExperience documenting in electronic medical recordsComfortable working independentlyExperience in Value-based care operationspreferredProficiency in both English and Spanish, preferredEducation, Experience, Licensure, or Certification RequirementsHigh School Diploma or GED equivalentrequiredBachelor's DegreeinHealthcare Administration, Business, or Hospitality preferredSuvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.