Supervisor, Referrals

SAC Health • San Bernardino, CA

10d • $29 - $34 • Onsite

About The Position

The Supervisor, Referrals oversees referral staff and ensures that referral and authorization processes comply with processing guidelines. The role requires high-level knowledge of referral and authorization workflows and includes accurate, timely review and entry of authorizations and consult notes, completion of specialist referral orders, and guidance to providers on referral ordering. The supervisor monitors productivity, coaches staff, handles escalated patient issues, and recommends process improvements. The position reports to the Referrals Manager. Occasional travel to other SAC Health clinics may be required. The schedule is five days per week, eight hours per day, Monday through Friday, 7:30 a.m. to 4:00 p.m., at the Brier Clinic in San Bernardino, California.

Requirements

• High school diploma or equivalent required.
• Minimum of two years of supervisory or leadership experience required.
• Valid California driver's license and active auto insurance.
• Must obtain EPIC certification for the module hired into.
• 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 to perform varied tasks, and strong organization.
• Ability to manage multiple telephone lines ringing simultaneously.
• Must be legally authorized to work full-time in the United States and must not require employment visa sponsorship now or in the future.

Nice To Haves

• Bachelor's degree preferred.
• Two years of medical office or outpatient experience preferred.
• Medical knowledge and experience with 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 referral-related challenges and recommend processes to improve departmental efficiency.
• Coach staff, identify improvement areas, and monitor staff productivity.
• Meet regularly with staff for documented one-on-one 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 confirm it supports the requested referral and check coding accuracy.
• Process referrals, authorizations, and specialty notes; verify authorization accuracy and ensure specialty notes arrive in time to facilitate continued-care authorizations.
• Serve as a referral liaison and 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

• Industry-leading PTO accrual per pay period
• Sick leave
• Paid holidays
• Paid jury duty
• Bereavement leave
• SAC Health covers approximately 85% of team member health premium costs, which may vary by benefit plan selection
• Retirement plan with up to 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