Benefits:

401(k) matching

Dental insurance

Health insurance

Paid time off

Training & development

Vision insurance

Referral Specialist – Ophthalmology (Referral Review, Provider Outreach, and Records Compliance) - Own the Pipeline, Drive Volume, and Protect Patient Care

Job Title: Referral Specialist Location: Round Rock, TX Company: Clarity Eye Center Compensation: Experience Dependent Range

Overview

You will manage the referral process from start to finish. You will evaluate each referral and determine whether it is appropriate for our practice. You will control how efficiently patients move through the system. Missed details lead to lost patients. Strong execution keeps our surgeons scheduled and our referring providers engaged.

What You Will Do

Review all incoming referrals for accuracy, completeness, and medical appropriateness

Determine whether a referral aligns with our providers and services

Accept or decline referrals based on clinical criteria and practice scope

Coordinate scheduling and ensure timely patient access to care

Communicate clearly with referring offices, patients, and internal teams

Verify insurance and obtain prior authorizations when needed

Track referral status and close the loop with referring providers

Manage medical records requests from outside entities and ensure timely, accurate responses

Handle insurance audits, including gathering documentation and ensuring compliance

Build and maintain relationships with PCPs and optometrists

Actively support outreach efforts to grow and strengthen referral sources

What You Need

Experience in ophthalmology (strongly preferred)

Strong understanding of referral workflows, insurance, and authorizations

Experience handling medical records requests and insurance audits

Ability to make judgment calls on referral appropriateness

High attention to detail and follow-through

Clear, direct communication skills

Ability to manage volume without losing accuracy

Bilingual in Spanish and English (preferred)

What This Role Is Not

Not data entry

Not a passive scheduling role

Not for someone who avoids accountability

What Success Looks Like

Clean, complete referrals with minimal delays

Strong audit readiness and zero missed deadlines on records requests

Strong relationships with referring providers

Consistent growth in referral volume

Surgeons scheduled with appropriate, qualified patients

Why Join Us

You will sit at the center of patient access, provider relationships, compliance, and growth. Your work directly impacts how quickly patients receive care, how our surgeons’ schedules are filled, and how referring providers view our practice.

You will share responsibility for the referral pipeline with the Clinical Director and Practice Administrator. You will work alongside experienced clinical teams and gain deeper exposure to ophthalmology, surgical coordination, and insurance processes.

This role gives you the opportunity to build strong relationships with referring providers, contribute to outreach efforts, and influence practice growth in a measurable way. You will also play a key role in maintaining compliance through accurate documentation and audit readiness.

If you want a position where your performance is visible, your decisions matter, and your work drives results, this is that role.