Medical Insurance Referral Specialist

Job Title: Medical Insurance Referral Specialist

About Us
At our clinic, we prioritize patient-centered care by empowering individuals to take charge of their health and well-being. Our services focus on delivering personalized, holistic, and mindful treatment options such as Advanced Wellness Exams, Nutritional IV Therapy, Hormone Replacement, Medical Weight Loss, and Primary Care. We go above and beyond to ensure comfort, accessibility, and exceptional outcomes for every patient. Our mission is to transform healthcare for the better and provide the best possible experience and results. WE LOVE WHAT WE DO!

Why This Is the Place for You

We’re proud to be one of the fastest-growing Primary Care Clinics in Texas, built on a foundation of innovation and commitment to wellness. If you’re passionate about helping people feel their best, live better, and achieve their goals, you could be the perfect addition to our team.
Here’s what makes us stand out:
Passionate Focus – Improving the lives of patients and their families is our top priority.
Vibrant Environment – Enjoy working with the latest medical technology in a positive and supportive office culture.
Exciting Benefits – Receive full benefits after just 6 months of employment.
Empowered Growth – We are dedicated to promoting from within and helping our team members thrive.

Job Description:

As an Insurance Referral Specialist, you will be responsible for managing and coordinating patient referrals, ensuring all necessary authorizations and approvals are secured for services. Your role is critical in facilitating smooth communication between patients, providers, and insurance companies to ensure timely and accurate referrals. This is a full-time, remote position requiring expertise in referral coordination and knowledge of insurance policies and procedures.

Responsibilities:

Coordinate and process referrals for 15-20 patients daily across multiple clinics.
Communicate with insurance providers to verify coverage for referrals and obtain necessary authorizations.
Ensure referrals comply with insurance requirements, including pre-approvals and coverage limitations.
Maintain accurate and organized records of referrals and related documentation.
Work closely with healthcare providers, patients, and insurance representatives to resolve referral-related issues or discrepancies.
Educate patients on their referral status and insurance-related requirements.
Manage referral workflows using electronic health record (EHR) systems or other designated tools.
Ensure compliance with HIPAA and other regulatory standards in managing patient information.


Requirements:

- Minimum of 3-5 years of experience in healthcare referral coordination or insurance-related roles.
- Strong knowledge of insurance policies, referral processes, and pre-authorization requirements.
- Proficiency in using EHR systems and insurance platforms such as Availity, Navinet, or payer-specific portals.
- Excellent communication skills to liaise with patients, providers, and insurance companies effectively.
- High attention to detail and ability to manage multiple referrals in a fast-paced environment.
- Demonstrated ability to work independently and meet deadlines with a high level of reliability.
- Familiarity with CPT and ICD-10 codes is preferred but not mandatory.


If you’re ready to take on this exciting leadership role, please complete the Google Form linked below. Include the phrase 'Heal the World' in your response to the question dates for interview availability to confirm that you’ve read the instructions thoroughly and are aligned with our mission. https://forms.gle/VXHwF6fLTfd4ng928

Join us in transforming lives and shaping the future of health and wellness. Let’s heal the world—one person at a time.