Referral Coordinator

Job Description Job Description Description: This position is remote based in the Houston area. Do you wake up every morning inspired to solve problems and make a meaningful impact in health care? If so, we want to hear from you. Innovista Medical Center is more than a clinic. It's a community hub. Many still feel unseen, unheard, and unsupported when seeing a health care provider. By putting our patients' needs first, we are transforming what it means to get exceptional care. We don't just treat symptoms. We focus on whole-person health—physical and mental well-being, disease prevention, and thoughtful management of chronic conditions. Innovista Medical Center provides primary care and walk-in services for people of all ages in ten locations in Dallas and Houston. We provide comprehensive healthcare services, including in-office lab work, vaccines, imaging, and telemedicine. Our values help define the patient experience and how we treat each other. HEARD: Our care starts with listening well to build relationships and trust. UNDERSTOOD: We offer an experience recognizing every patient's history and background. IN CONTROL: We provide one place for all primary care needs for the whole family. ACTIVELY SUPPORTED: We ensure patients are not alone in the care process, which is much more than what happens during a visit. SEEN: We honor the entirety of who each patient is and care for them at the highest level. If you are looking for a rewarding medical career, we look forward to hearing from you! We're thrilled to announce a dynamic opportunity for you to become an integral part of our Houston, Texas team. As an onsite contributor, you'll play a key role in pioneering a pathway toward a more streamlined and effective healthcare system. JOB SUMMARY Responsible for following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals and scheduling appointments to specialists for patients per provider requests. DUTIES AND RESPONSIBILITIES Prioritize referrals according to level of urgency and communicate referral information to patients during incoming calls and submitting authorized letters to the patient via EPIC MyChart. Urgent referrals are processed within 2 3 business days. Routine referrals should be processed within 5 business days, and Reprocessed referrals should be processed within 7-14 business days with the expectation of completing 25-30 referrals daily Ability to distinguish the difference between a reprocess and initial request by checking history of the referrals or documentation provided on the referral. Reliable home workspace and equipment; stable internet Detail oriented when documenting information regarding a patient’s referral to be easily processed and avoid delay of care Ensure accurate registration, including patient demographic, current insurance information matches in EPIC and Availity. Contact Blue Cross Blue Shield of Texas and provide ICD-10 diagnosis for patient's illness, Demographic, and specialist information to process a redirected referral. Ensure information concerning patient’s clinical background and referral needs are provided when the PCP is submitting the referral prior to processing. Maintain referrals tracking system on Excel to promote team awareness since referrals are processed by date order from oldest to newest. Follow up on Referrals submitted OON for determination due to continuation of care with the OON Specialist twice weekly for approval or denial of services. Provides a standard of excellence as it relates to customer service and satisfaction for all customers. Communicates with all stakeholders, staff, providers, payers, and patients as appropriate. Ability to work under pressure and meet deadlines Performs other duties as required. Requirements: High School or Technical school education required. Customer Service and Communication skills Proficient: Microsoft Word, Excel, PowerPoint, Outlook Bilingual (English/Spanish) preferred. Epic EMR experience is highly preferred. At least one year of previous experience in this role. Any combination of education, training, and experience which demonstrates the ability to perform the duties and responsibilities as described including related work experience. Relevant or any other job-related vocational coursework preferred. Skills • Excellent communication skills • Great organizational and time management skills • Detail-oriented personality • Strong problem-solving skills • Ability to work under pressure and meet deadlines BENEFITS: We are committed to creating a culture where everyone feels important, welcomed, and included. We demonstrate this commitment by offering a comprehensive benefits package that fosters opportunities for growth and advancement and supports the physical, mental, and financial wellbeing of our team members. HEALTH & WELLBEING A choice health coverage, including HMO and PPO, plus Flexible Spending Account (FSA) and Health Savings Account (HSA) options Dental and vision coverage Company-paid benefits (short- and long-term disability, employee life, and accidental death and dismemberment) Employee Assistance Program Bereavement Leave (full time employees for the loss of an immediate family member) Paid Military Leave Benefits Discounts and perks on gym memberships, shopping, travel, recreation, and more FINANCIAL GROWTH A yearly discretionary bonus 401(k) with a company match Credit Union Banking alternative Wellness Rewards with Monetary Incentives Rewarding employee referral bonuses WORK/LIFE BALANCE Flexible schedule and work from home options for numerous roles Nine paid company holidays Sick and Wellness Days accrued PTO Commuter benefits Paid Parental Leave (up to 6 weeks, subject to applicable waiting period) JOB SATISFACTION & ADVANCEMENT Clear career advancement and growth pathways Continuous education opportunities and financial reimbursement (mileage and certifications where approved) Diversity, Equity & Inclusion Committee with various Business Resource Groups you can join Company-wide socials and gatherings "Dress for Your Day" policy

Location: Houston, Texas, US

Posted Date: 11/11/2025