Bilingual Referral Coordinator
Legacy Community Health
- Location
- Houston, TX
- Work style
- On-site
- Posted
- Oct 4
- 16 days ago
Career path
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About the company
Legacy Community Health
Hospital & health care · 1,001 to 5,000 employees
The largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has delivered affordable, high-quality care for nearly 40 years across 50+ clinics in Greater Houston and the Gulf Coast. Our mission — driving healthy change in our communities — guides everything we do, and it starts with our people.
What you'll do
- Review and process all diagnostic, specialty, and miscellaneous referral requests submitted by clinical staff.
- Obtain patient insurance verification and authorization for referrals, and schedule appointments as appropriate.
- Complete phone consultations with clients regarding the status of referrals.
- Review and process prior authorization requests submitted by clinical staff.
- Record all appropriate information via Centricity EHRS.
- Build relationships with providers and referral sources.
- Adhere to regulations for a Patient Centered Medical Home.
- Adhere to all HIPAA Guidelines.
- Maintain working knowledge of and comply with Medicare/Medicaid regulations.
- Ensure proper documentation of service coordination, including attaching all supporting documentation to referrals.
- Follow up on and complete orders for referral locations and providers with the appropriate discipline.
- Initiate completion of forms for provider review and final signature, including but not limited to home health orders and therapy orders.
- Provide phone contact to motivate and encourage patients to complete imaging services and preventive cancer screenings in a timely manner, including CAT scans, MRIs, ultrasounds, colorectal cancer screenings, breast cancer screenings, cervical cancer screenings, and HPV vaccinations.
- Provide reminder phone calls and send letters to patients regarding scheduled appointments to enhance completion of tests, screenings, and vaccines.
- Set and confirm medical appointments as needed, including appointments for other provider services.
- Participate in the Performance Improvement Program for coordination of care.
- Perform other duties as assigned.
What you need
- High school diploma or GED
- One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
- Education: a high school diploma or a professional certificate
Key skills
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Perks
- Paid Time Off
- Paid Company Holidays
- Flexible Spending Account (FSA)
- Short-Term & Long-Term Disability
- Travel Insurance & Pet Insurance
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