Referral Specialist
Listed on 2026-01-12
-
Healthcare
Medical Office, Healthcare Administration
Responsibilities
ABOUT SOUTH TEXAS HEALTH SYSTEM – CLINICS
Join our South Texas Health System Clinics (formerly Valley Care Clinics) team! Providers with South Texas Health System (STHS) Clinics deliver high quality family medicine, health screenings and advanced specialized care to the people of the Rio Grande Valley. STHS Clinics is committed to delivering quality healthcare and service excellence. Our clinics are affiliated with South Texas Health Systems’ four acute care hospitals, behavioral health hospital, six freestanding emergency rooms and one joint venture hospital.
Specially trained and highly experienced, our physician group treats a wide range of conditions using advanced technologies and minimally invasive techniques.
Website:
The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures. Scheduling of other tests with facilities at the request of providers and/or staff. Communicates effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision, and values of the practice.
Job Duties /Responsibilities- Schedules tests and referral appointments within 24 hours from receiving the physician order. Notifies patients within 24 hours of their appointment. Pre-certify appropriate tests with insurance companies within 48 hours of physician order. Communicate pre-certification results to the patient and/or office in a timely manner.
- Communicates effectively with patients, clinics, and hospital. Communicates information to appropriate areas, departments, and individuals. Addresses patients in a polite, prompt, and helpful manner. Answers the phone within four (4) rings in a courteous manner identifying self and department.
- Demonstrates knowledge and skills to operate EMR software efficiently and effectively. Uses referral tool in EMR for all documentation. Demonstrates knowledge of computer downtime procedures.
- Maintains a clean and orderly office and waiting area. Orders supplies for the office within budgetary guidelines. Returns all emails within 48 hours.
- Other duties as assigned.
- Retention Bonus Program if offered.
- Loan Forgiveness Program if offered.
- Challenging and rewarding work environment.
- Competitive Compensation & Generous Paid Time Off.
- Excellent Medical, Dental, Vision and Prescription Drug Plans.
- 401(K) with company match and discounted stock plan.
- SoFi Student Loan Refinancing Program.
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website:
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia.
Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).