Referrals Specialist

For over 30 years, Valley Day and Night Clinic has proudly served the Rio Grande Valley as a trusted family practice. With locations across Brownsville, Harlingen, and Mission, Texas, we are dedicated to providing accessible, compassionate, and high-quality healthcare to our communities.

As a family-owned and operated clinic, we believe in building long-term relationships, not just with our patients, but with our team. We foster a supportive work environment where healthcare professionals can grow, thrive, and make a meaningful impact every day.

Whether you're just starting your career or bringing years of experience, we invite you to explore opportunities to join our mission of care.

The Referrals Specialist plays a critical role in ensuring seamless coordination of patient care by managing all incoming and outgoing referrals. This position serves as a liaison between patients, providers, and external healthcare facilities to facilitate timely and accurate referrals, authorizations, and follow-ups. The ideal candidate is detail-oriented, organized, and committed to delivering excellent patient service in a fast-paced clinical environment.

• Process incoming and outgoing referrals in a timely and accurate manner.
• Verify insurance coverage and obtain prior authorizations when required.
• Coordinate with primary care providers, specialists, and diagnostic facilities to schedule appointments and ensure continuity of care.
• Maintain accurate and up-to-date records in the electronic health record (EHR) system.
• Communicate with patients regarding referral status, appointment scheduling, and any required documentation.
• Follow up on outstanding referrals and ensure completion of referral loop.
• Collaborate with clinical and administrative staff to resolve referral-related issues.
• Ensure compliance with HIPAA and other regulatory requirements.
• Generate reports on referral metrics and trends as needed.

• High school diploma or equivalent required; associate degree or medical office certification preferred.
• Minimum 1–2 years of experience in a medical office or healthcare setting, preferably in referrals or patient coordination.
• Familiarity with insurance plans, prior authorization processes, and medical terminology.
• Proficiency in EHR systems (e.g., Epic, Athenahealth, eClinical
  
  Works) and Microsoft Office Suite.
• Strong communication and interpersonal skills.
• Ability to multitask, prioritize, and work independently in a team-oriented environment.

• Bilingual (English/Spanish or other languages) is a plus.
• Knowledge of local healthcare networks and referral protocols.
• Experience with managed care and value-based care models.

• 401(k)
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• $10.00 - $11.00 based on experience

If you are passionate about enhancing patient care through effective communication and organization, we invite you to apply today and join our dedicated team at Valley Day and Night Clinic!