Referrals Manager

AltaMed•La Junta Gardens, CO

1d•$75,662 - $94,578

About The Position

The Referral Manager is responsible for overseeing and managing the day-to-day operations of the centralized referral team and in-clinic referral operations. The Manager is responsible for the accurate and timely data entry of referral requests into the appropriate portal(s). Additional responsibilities include auditing the close-the-loop process for managed/non-managed care referrals, auditing and monitoring all daily operational functions to effectively process pre-authorization requests for multiple contracted health plans, and maintaining data sets on referral trends and cost analysis. Lastly, the Manager is an integral part of the care team, working as a liaison between leaders, providers, and Medical Management to ensure timely access to specialty care.

Requirements

Bachelor’s degree or a combination of education and experience required.
Minimum of 3 years of experience in a healthcare-related, IPO or HMO required.
A minimum of 1 year in a supervisory capacity is required.
Bilingual English/Spanish preferred.

Nice To Haves

A Medical Assistant certificate is preferred but not required.

Responsibilities

Overseeing and managing the day-to-day operations of the centralized referral team and in-clinic referral operations.
Accurate and timely data entry of referral requests into the appropriate portal(s).
Auditing the close-the-loop process for managed/non-managed care referrals
Auditing and monitoring all daily operational functions to effectively process pre-authorization requests for multiple contracted health plans
Maintaining data sets on referral trends and cost analysis.
Working as a liaison between leaders, providers, and Medical Management to ensure timely access to specialty care.