Supervisor, Referrals

SAC Health • San Bernardino, CA

1d • Onsite

About The Position

The Supervisor, Referrals oversees referral and authorization operations and supervises referral staff to ensure compliance with processing guidelines. This role ensures accurate and timely review and entry of authorizations and consult notes, and processes referral orders to specialists. The supervisor may place or assist in processing orders under approved protocols, advises providers on referral ordering, and recommends process improvements. The position monitors staff productivity, coaches staff, and reports to the Referrals Manager. Occasional travel to other SAC Health clinics may be required.

The role is based at the Brier Clinic in San Bernardino, California. The schedule is five days per week, eight hours per day, Monday through Friday, 7:30 a.m. to 4:00 p.m.

Requirements

• High school diploma or equivalent required.
• Valid California driver's license and active auto insurance required.
• Must obtain EPIC certification for the module associated with the position.
• At least two years of supervisory or leadership experience required.
• Proficient computer skills, including data entry at 35 words per minute.
• Ability to use office equipment, including a fax machine, scanner, printer, and copier.
• Ability to foster teamwork and contribute to an effective work environment.
• Exceptional communication, organizational, office, and interpersonal skills.
• Critical-thinking skills, flexibility, and strong organization.
• Ability to handle multiple telephone lines ringing simultaneously.
• Must be legally authorized to work in the United States on a full-time basis and must not now or in the future require employment visa sponsorship.

Nice To Haves

• Bachelor's degree preferred.
• Two years of medical office or outpatient experience preferred.
• Medical knowledge and experience in medical referral processing and ICD and CPT coding preferred.

Responsibilities

• Initiate continuous improvement methods, including quality assurance reviews, to maintain compliance with insurance and SAC Health guidelines.
• Handle escalated patient issues and assist in resolving them.
• Identify internal and external challenges related to referrals and recommend processes to improve departmental efficiency.
• Coach staff, identify areas for improvement, and monitor productivity.
• Hold regular, documented one-on-one staff meetings to review issues and progress.
• Assist with interviewing new staff and provide input for annual staff evaluations.
• Place or assist in processing orders under approved standing orders and protocols as needed.
• Review referral order documentation to determine whether it supports the requested referral and check coding accuracy.
• Process referrals, authorizations, and specialty notes.
• Verify authorization accuracy and ensure specialty notes are received in a timely manner to facilitate continued-care authorizations.
• Serve as a liaison and referral resource for clinic staff, outside medical groups, and patients.
• Maintain current knowledge of insurance policies and referral and authorization processes.
• Work with insurance companies and managed care groups to ensure pre-visit information is sent to patients as needed.

Benefits

• Full benefits package.
• Industry-leading PTO accrual, accrued per pay period.
• Sick leave.
• Paid holidays.
• Paid jury duty and bereavement leave.
• SAC Health covers approximately 85% of team member health premium costs, which may vary with benefit plan selection.
• Retirement plan with up to an 8% employer contribution.
• Continuing education and learning benefits.
• Annual mission trip.

What This Job Offers

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