Care Coordination & Referral Specialist

Petaluma Health Center Inc; Petaluma (CA); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

21 Days Paid Time Off

Medical Insurance (deductible paid)

Dental Insurance

Vision Insurance

401K Matching after 1 year

Flexible Spending Account

Life Insurance (included)

Long Term Disability (included)

Job summary

Petaluma Health Center in California is seeking an entry-level Referrals and Insurance Coordinator to ensure patient access to specialty services. You will verify insurance, track referrals, and assist with authorizations and appeals, while delivering compassionate customer service to diverse patients and families.

Responsibilities include tracking authorizations, helping uninsured patients enroll in programs, and maintaining referral information for our care teams.

Qualifications

• High school graduate with medical office training.
• Two years experience with insurance, referrals, authorizations, and community contacts.

Responsibilities

• Verify patient insurance eligibility.
• Maintain updated authorizations/referrals in patient chart through tracking.
• Assist uninsured patients to be enrolled in PAP program.
• Provide information to patient through warm hand offs as needed.
• Make and answer calls regarding referral questions.
• Assist patients in appeals process for denial of services with insurers.
• Maintain extensive resource directory for PHC staff and patients.
• Process outside referrals within expected timeframe.
• Track referrals to ensure timely completion and follow-up.

Skills

Bilingual EN/ES

Customer service

Multitasking

Education

High school diploma

Job description

Petaluma Health Center in California is seeking an entry-level Referrals and Insurance Coordinator to ensure patient access to specialty services. You will verify insurance, track referrals, and assist with authorizations and appeals, while delivering compassionate customer service to diverse patients and families.

Responsibilities include tracking authorizations, helping uninsured patients enroll in programs, and maintaining referral information for our care teams.