Care Connection Associate, Full-time, Day Shift

Adventist Health; Simi Valley (CA); On-site; USD 34,000 - 41,000; Full time

Job summary

Adventist Health Simi Valley is seeking an administrative professional to manage referrals for imaging and specialty services. Responsibilities include coordinating inbound/outbound referrals, verifying benefits, and scheduling per policy, while maintaining high-quality patient service.

The role emphasizes patient advocacy, problem-solving barriers to care, and collaboration with care teams to ensure timely access to services in a busy outpatient setting.

Qualifications

• High School Education/GED or equivalent: Preferred.
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred.

Responsibilities

• Processes inbound and outbound referrals, verifies referrals are correctly ordered according to protocols in the EHR.
• Obtains benefit verification and necessary authorizations prior to patient arrival for all visits, procedures, injections and radiology services.
• Serves as navigator and point of contact for patients and families, assisting with questions and concerns and coordinating with carriers.
• Maintains productivity and timeliness of referral and scheduling while meeting queue goals.
• Collaborates with Care Connection Center staff and answers provider questions regarding referrals and care coordination.
• Performs other job-related duties as assigned.

Skills

Customer service

Insurance verification

Education

High School Education/GED

Associate’s/Technical Degree

Job description

Job Description

Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening.

Job Summary

Manages incoming and outgoing referrals from Imaging, primary and specialty providers in a timely and professional manner; schedules appointments according to practice policy; maintains positive relations with referral sources; schedules appointments from third party electronic referral systems, fax, email and web requests; and participates in marketing to referring practices. Provides quality customer service & patient financial responsibilities to patients, referring physicians, visitors and internal customers by obtaining insurance authorization and benefit verification for imaging procedures and specialty referrals.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions

• Processes inbound and outbound referrals, verifies referrals are correctly ordered according to protocols in the EHR. Obtains benefit verification and necessary authorizations (referrals, pre-certification) prior to patient arrival for all ambulatory visits, procedures, injections and radiology services.
• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Serves as navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. Occasionally assumes advocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Assists patient in problem-solving potential issues related to the healthcare system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance)
• Maintains satisfactory productivity rates and ensures the timeliness of referral and scheduling while maintaining work queue goals.
• Collaborates effectively with Care Connection Center associates and responds to provider (internal and external) and support staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

JOB INFO

Job Identification : 71649

Job Category : Associate

Posting Date : 2026-08-28T20:16:35+00:00

Job Shift : Day Shift

Locations : Simi Valley, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $25.00 to $29.56. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : AHPN Simi Valley - Aspen

Shift Length : 8 Hours