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Healthcare Administrator
Tyler, TX

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University of Texas at Tyler

Referral Coordinator - Outpatient Behavioral Health

Job Description

Referral Coordinator - Outpatient Behavioral Health Job Type/Hours per Week Full-Time/40 Hours per Week Salary Salary depends on education and relevant experience. Hiring Department Outpatient Behavioral Health - Child/Family Counseling Location This position is located at the UT Tyler Health Science Center campus. Required Application Materials A single PDF or Word document containing a resume, letter of interest, and a list of the names and contact information for three (3) professional references is required to apply.
Important Instructions:
When prompted to upload your "resume", upload your combined documents as one file. Please do not upload documents to "Cover Letter" or "References". If the required application materials were not uploaded at the "resume" prompt, please withdraw your application, and re-apply to upload your combined documents as one file. Job Summary The Referral Coordinator is responsible for processing internal, incoming, and external referrals for Ambulatory services, procedures, and medications. The position will obtain prior authorizations, schedule patients, work inbound and outbound phone calls, and communicate with patients via online chat. Major Responsibilities/Duties/Critical Tasks Ensures current and standardized referral policies and workflows are followed and utilized on a regular basis. Prioritizes referrals by their urgency and addresses them in a timely manner. Participates and successfully completes required orientation and training related to job responsibilities. Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists. Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services. Reviews details and expectations about the referral with ordering providers and patients. Requests new referrals to be ordered when applicable. Identifies and utilizes community resources; establishes relationships with servicing providers and personnel. Serves as point of contact for patients and specialists for any questions or concerns. Assist in problem-solving potential issues related to their referral due to language or social barriers. If unable to help, assist in finding the right point of contact to further help. Receives requests for prior authorization through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored. Processes referrals and submit medical records to insurance carriers to expedite prior authorization processes. Manages correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate. Assists with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed. Reviews the accuracy and completeness of the information requested and ensure that all supporting documents are present. Meets departmental goals for referral authorization processing, scheduling, and phone responsibilities. Meets individual productivity and accuracy requirements as determined by the Supervisor and/or Manager. Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating commitment to service. Other duties as assigned. Required Education/Experience High school graduation or equivalent. Associates degree in related field. Minimum of 2 years' experience in administrative work in a clinical setting. May consider a combination of education and experience. Accompanying Knowledge, Skills, Abilities and Competencies Excellent written and verbal communication skills. Ability to organize information. Ability to handle sensitive information with absolute confidentiality. Proficiency in Microsoft Office programs (Outlook, Word, Excel, PowerPoint). About The University of Texas at Tyler and UT Tyler Health Science Center The University of Texas at Tyler is part of the prestigious University of Texas System that includes 14 institutions located throughout the state. Founded in 1971, UT Tyler today enrolls 10,000 students and consists of six colleges. Designated as an R2 research institution by the Carnegie Classification of Institutions of Higher Education, UT Tyler supports our surrounding region through innovation intended to uplift communities, spearhead sustainability initiatives, preserve ecosystems and support entrepreneurship. UT Tyler has the highest Carnegie classification in East Texas. Providing exceptional patient care, comprehensive education and innovative research, The University of Texas at Tyler Health Science Center and UT Health East Texas combine to serve as the university medical center for Northeast Texas and beyond. For more information, please visit https://www.uttyler.edu/about . Additional Information The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length. This position is security-sensitive and subject to Texas Education Code Section 51.215, which authorizes the employer to obtain criminal history record information. Applicants selected must be able to show proof of eligibility to work in the United States by time of hire. For more information regarding benefits offered by UT Tyler, please visit https://www.uttyler.edu/offices/human-resources/employees/benefits . Clinical Position Requirements Clinical positions may be required to complete a pre-employment health screening, following a contingent job offer, to determine whether they possess the physical capabilities needed to safely fulfill the specific demands of the position. Additionally, clinical positions require compliance with the University's Vaccine Preventable Disease Policy. EEO Statement The University of Texas at Tyler is an Equal Employment Opportunity Employer. To apply, visit https://zahr-prd-candidate-ada.utshare.utsystem.edu/psp/ZAHRPRDADA/EMPLOYEE/UTZ_CG/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&Action=U&FOCUS=Applicant&SiteId=23&JobOpeningId=16168&PostingSeq=1 je-f3a305f9fbda43118f7e193e4b73a261