Referral Coordinator Remote Jobs in Texas (US)
This page tracks remote referral coordinator openings that are location-eligible for Texas.
This page tracks remote referral coordinator openings that are location-eligible for Texas.
Open jobs
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Hiring companies this week
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Salary sample
$29 - $55,227
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7 Jobs
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At Coloplast, we believe in recognizing and rewarding the contributions of our employees. We develop and market products and services that make life easier for people with intimate healthcare needs. Employing about 16,000 people and with products available in more than 143 countries, we are one of the world’s leading medical device companies.
Role Description Responsible for creation and processing of referrals from HCPs and other referral sources into CM database for order confirmations and shipment. Duties include validation of medical files and scanning them into customer accounts within the database along with verifying patients’ insurance benefits by contacting insurance companies and documenting accounts accordingly. - Processes lead from external departments to complete the necessary documentation within CM database. - Organize and update customer records by reviewing and validating relevant information received about customers and loading it into the database. - Complete inbound and outbound telephone calls in response to the referral as documented on the correspondence or HCP referral. - Responsible for the timely verification of medical insurance benefits for new and existing patients; existing customers with changes in insurance, and reactivated patients. - Note in each account a brief and clear summary of insurance information received from the insurance carrier. - Review each medical record received for missing documentation; check physician’s notes for appropriate diagnosis to justify Comfort Medical’s service; verify that the correct person has signed all paperwork such as physician’s orders, and other documentation requiring signature. - Ensure the correction of deficient documentation, and documentation requiring signature are received, and filed in the required period. - Ensure accuracy of components within the files and scanning into the system when applicable. - Research and resolve issues regarding a customer’s order; communicating with HCPs and insurance to gather relevant information and communicating the outcome to various stakeholders where appropriate. - Complete and/or update all pertinent records in company database using Corporate Compliance Guidelines. - Establish and maintain effective knowledge of policies, procedures, and skills required to complete job duties. - Exceed Quality and Quantity Performance Standards. - Establish and maintain effective working relationships with customers and/or co-workers. - Skilled typing ability and knowledge of personal computers, hardware, software (ex. Microsoft Office Suite), and related applications and systems. - Support the Department’s Leadership Team in achieving departmental goals by completion of tasks, continued training, etc. - Available and flexible in scheduling to meet the changing business requirements of the position (includes working nights and weekends). - Responsible for following good housekeeping and quality procedures. - Follows and observes all safety practices. - Set a positive example for co-workers by observing and adhering to all Departmental and Corporate Policies and/or Procedures. - Additional duties required as directed by departmental management team. - Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime. - Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies. - Other job duties as assigned. Qualifications - High school diploma or equivalent. - Minimum of one-year experience in a contact center. - English/Spanish bilingual preferred. - Willingness to engage in telephone direct sales. - Ability to take initiative and work independently. Requirements - Ability to interpret instructions and guidelines to make decisions and take necessary actions. - Ability to follow complex instructions and guidelines to specific problems arising in the work area. - Ability to navigate between different computer systems. - Ability to apply instructions and/or guidelines as appropriate in the performance of duties. - Ability to maintain composure during stressful situations occurring because of workloads and/or deadlines. - Ability to communicate effectively (verbal and written). - Ability to determine work priorities. - Ability to work on one’s own initiative to achieve established goals and objectives. Benefits - Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. - Access to company-sponsored wellness programs and mental health resources. - Paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents. - A competitive 401(k) plan with company match that vests immediately. - Financial planning services to help you secure your future. - Corporate discount programs for goods and services. - Generous paid time off, flexible work hours, and flexible work arrangement options. - Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement. - Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events. - A supportive work environment where everyone feels valued, and has a sense of belonging. - Participate in team-building activities, volunteer opportunities, and company-sponsored events. - Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way. - The total (hourly plus performance-based incentive) compensation range for this position is $55,227 - $82,841.
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu.
Role Description The Referral Coordinator is responsible for the intake, triage, validation, and accurate processing of externally referred patient care requests received for OHSU ambulatory clinics and diagnostic services. This role is often the first step in the care process for patients beginning care at OHSU, serving as a critical point of entry into the health system and supporting timely, accurate, and appropriate access to care and services. - Review referral documentation submitted by external providers, including medical diagnoses, procedures, imaging or diagnostic testing requests, urgency indicators, and supporting clinical records. - Determine referral completeness, urgency, and appropriate routing within OHSU’s electronic medical record (Epic). - Interpret medical terminology and ICD10 diagnosis codes, apply intake rules, and ensure precise documentation. - Function as a member of the Ambulatory Access Services department, supporting centralized access, outpatient clinics, and diagnostic services. Qualifications - Bachelor’s degree plus 2 years’ experience working in an ambulatory clinic, OR - Associate’s degree plus 4 years’ experience working in an ambulatory clinic, OR - High School diploma plus 6 years’ experience working in an ambulatory clinic. - Knowledge of multiple Ambulatory workflows. Requirements - Completion of a medical terminology course. - Experience working in a centralized access center or medical referral management role. - Experience supporting patient scheduling workflows. - Previous referral management experience. - Experience in various ambulatory clinics or knowledge thereof. - Epic electronic medical record experience in an ambulatory or access-focused workflow. - Proven experience performing detailed, high-volume work requiring accuracy and independent judgment. - Demonstrated experience reviewing, interpreting, and processing medical documents. - Experience managing or processing referrals across multiple clinics or services. - Demonstrated interpersonal, communication, and problem-solving skills. - Working knowledge of medical terminology, diagnoses, procedures, and diagnostic testing. - Ability to interpret ICD10 diagnosis codes and clinical referral documentation. - Proficiency in Epic referral workflows, including referral creation, appointment requests, diagnosis entry, documentation, and attachment management. - Understanding of ambulatory specialty clinic structures and diagnostic referral workflows. - Knowledge of patient identification standards, confidentiality requirements, and HIPAA regulations. - Ability to manage competing priorities in a high-volume environment while maintaining accuracy and compliance. - Excellent verbal and written communication skills. - Commitment to patient-centered access, service excellence, and equitable care delivery. Benefits - Monday-Friday business hours, shift to be determined. - This is a work from home position. - Prolonged computer use and electronic data entry. - No regular exposure to hazardous materials. Additional Details - This position requires prolonged sitting and sustained computer use throughout the workday. - Extensive keyboard and mouse use requiring fine motor skills. - Sustained visual focus on computer screens and electronic documents for the majority of the workday. - Ability to maintain concentration and attention to detail throughout the workday. Company Description We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions, and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu.
Advancing data sharing to improve the health of all Californians
• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team • Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met
Enabling physicians to engage, support, and manage value-based savings and shared-risk models.
• Provide internal support to the Medical Management Department in the areas of Outpatient Case Management ensuring all services referred are reviewed according to plan requirements and approved criteria. • Effectively communicates to management and internal departments timely. • Receives and responds to all incoming calls from PCP, specialists, and other providers regarding inpatients, surgeries, and outpatient services including DME, Home Health Care, and other services requiring a pre-authorization. • Coordinates DME with contracted HMO vendors for outpatient services. • Coordinate with Inpatient Case Manager on discharge planning of members (DME, Home Health, and Skilled Nursing). • Coordinates and reviews retro surgical procedures with Manager. • Understands Health Plan policies and procedures regarding pre-authorization, benefits by health plan, and preferred facilities within each plan. • Enters data and coordinates elective admissions with a surgical component. • Maintains compliance with all health plan guidelines on the reporting of cases/surgeries. • Works with clinical staff to assess benefit levels for non-medical denial determination to ensure the denial process includes letter and log maintenance. • Identifies potential stop-loss candidates to be monitored and reports to a senior-level manager. • Applies Innovista guidelines and additional approved criteria as detailed in the client UM Plan for the length of stay/admission criteria to approve initial and continued inpatient services. • Other duties as assigned.
• Performs a wide range of administrative duties to include referral processing, patient registration. • Verification of benefits and insurance authorizations. • Patient appointment scheduling and communication with referral sources. • Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. • Ensures complete and accurate registration, including patient demographic and current insurance information. • Assembles information concerning patient's clinical background and referral needs. • Provides appropriate clinical information to specialist based on referral guidelines. • Contacts review organizations and insurance companies to ensure prior approval requirements are met. • Presents necessary medical information such as history, diagnosis, and prognosis. • Provides specific medical information to financial services as appropriate to process referral. • Reviews details and expectations about the referral with patients. • Assists patients in problem solving potential issues related to the health care system, financial or social barriers. • Acts as a system navigator and point of contact for patients and individuals who have consent and direct access to patient information.
Role Description Do you enjoy helping people and staying organized? We are looking for individuals to assist clients with planning, coordination, and creating positive experiences throughout the travel planning process. This fully remote opportunity offers a flexible schedule and the ability to work independently. - Communicating with clients - Coordinating details - Researching options - Organizing reservations - Providing ongoing support The ideal candidate is organized, enjoys working with people, and is comfortable learning new systems. Previous experience in hospitality, customer support, administration, or coordination is helpful but not required. Training, support, and professional development resources are provided. Qualifications - Strong organizational and communication skills - Interest in hospitality and customer experience - Ability to work independently and manage time effectively - Comfortable using booking platforms and digital tools - Reliable internet access - Authorized to work in the U.S. and 18 years of age or older Benefits - Remote work with flexible scheduling - Training and ongoing professional support - Access to booking systems and supplier partnerships - Travel-related discounts and perks - Performance-based compensation Company Description
• Oversee the intake and referral process from receipt through completion. • Coordinate referrals with internal departments, external providers, and health plan partners. • Monitor referral workflows to identify delays, barriers, or trends impacting patient access.
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