Referral Coordinator

High Desert Medical Group • Lancaster, CA

9d • $21 - $29

About The Position

High Desert Medical Group is looking for a full time Referral Coordinator for
our Utilization Management department. This individual will help to ensure that
all outside referrals have verified eligibility presented to Utilization Review
in a timely manner for review, have scheduling arrangements, and are loaded and
maintained on a computer.

Requirements

• High School diploma or equivalent.
• One year experience in a medical office, including coding and claims, and dealing with the public, preferred.
• Knowledge in CPT/ICD-10 coding.
• Proficiency in Microsoft Office.
• Excellent written and verbal communication skills.
• Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.
• Ability to responsibly handle matters of a confidential nature.
• Ability to work in a multi-task, high-productive environment.

Nice To Haves

• Knowledge of medical terminology preferred.

Responsibilities

• Present referral for approval to Utilization Review Committee. Notify Primary Care Provider of any changes or denials.
• Notify patients regarding denial and modifications of services.
• Notify patients of approved referrals and scheduling information.
• Code referrals according to ICD-10 CM/CPT codes.
• Input referral data and print authorization for all approved referrals.
• Assist patients in resolving questions/problems.
• Organize workload and workflow process in the department to ensure referrals are processed timely.
• Assist insurance companies regarding patient referrals.
• Assist primary care physician office on status of referrals.
• Perform other duties as assigned.

Benefits

• a sign-on bonus
• restricted stock units
• discretionary awards
• a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED