Bilingual Referral & Authorization Operations Lead

The Health And Wellness Centers; Los Angeles (CA); On-site; USD 70,000 - 75,000; Full time

Job summary

The Health And Wellness Centers in Los Angeles is seeking an experienced Referral Operations Supervisor to oversee referral and pre-authorization processes across clinics. You will manage staff, streamline workflows, and ensure timely, accurate documentation for billing purposes.

Ideal candidates bring 4+ years in medical referrals, 1–2 years of leadership, and fluent Spanish. Knowledge of EPIC equivalents like ECW and E-Consult is preferred; FQHC experience is a plus.

Qualifications

• 4 years of progressive experience processing referrals and pre-authorizations in a medical administration or referral coordination role.
• 1-2 years of experience managing direct reports.
• Bilingual in Spanish (required).
• Advanced knowledge with medical terminology, IPA processes, and ICD, CPT codes.
• Experience with ECW and E-Consult.
• High school graduate or higher education.

Responsibilities

• Manage and train, evaluate direct reports.
• Manage staff schedules and approve time and attendance.
• Provide necessary and routine reports.
• Streamline existing referral processes and protocols across clinics.
• Monitor daily referral and pre-authorization turnaround time and conversion rates; identify obstacles and provide resolutions.
• Review and analyze all referrals/authorizations submitted by the health centers timely and accurately.
• Communicate with providers and staff.
• Ensure medical documentation meets billing and approval standards of insurers.
• Ensure regulatory compliance with submission timelines.
• Proficient written and verbal communication.
• Adhere to company policies and procedures.

Skills

Bilingual Spanish

Staff management

Process optimization

Communication

Education

High school diploma or equivalent

Tools

ECW

E-Consult

Job description

The Health And Wellness Centers in Los Angeles is seeking an experienced Referral Operations Supervisor to oversee referral and pre-authorization processes across clinics. You will manage staff, streamline workflows, and ensure timely, accurate documentation for billing purposes.

Ideal candidates bring 4+ years in medical referrals, 1–2 years of leadership, and fluent Spanish. Knowledge of EPIC equivalents like ECW and E-Consult is preferred; FQHC experience is a plus.