Referral Specialist I

AltaMed • Los Angeles, CA

1d

About The Position

The Specialist I, Referrals, is responsible for processing referral requests from various sources to ensure compliance with federal, state, or Health Plan-specific turnaround time requirements. The Specialist is accountable for facilitating timely authorizations and notifications, as well as other referral management functions.

Requirements

• High school diploma required
• Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred)
• Experience with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required

Nice To Haves

• Medical Assistant Certificate or Medical Billing Certificate preferred
• Bilingual English/Spanish preferred

Responsibilities

• Processing referral requests from various sources
• Ensuring compliance with federal, state, or Health Plan-specific turnaround time requirements
• Facilitating timely authorizations and notifications
• Performing other referral management functions

Benefits

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

What This Job Offers

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