Coordinator-Referral & Surgery

Socket.dev; Loma Linda (CA); On-site; USD 42,000 - 54,000; Full time

Job summary

Loma Linda University Health is seeking a Coordinator-Referral & Surgery to manage the authorization process for patient services requiring approval. You will ensure referrals are complete and assist front office staff while maintaining confidentiality and high service standards.

You will handle pre-certifications for ancillary testing and support patients with insurance questions, emphasizing accuracy and patient-centric care in a clinical office setting.

Qualifications

• High School Diploma or GED required.
• One year front office experience required.
• Clinical office experience preferred.
• Solid knowledge of insurance guidelines and coding (ICD/CPT).

Responsibilities

• Coordinate and manage patient authorization processes for services needing approval.
• Ensure referrals from providers are complete to facilitate authorization.
• Assist in directing front office staff and support insurance-related issues.

Skills

Insurance guidelines

ICD CPT coding

Epic system

MS Office

Typing speed

Attention to detail

Multitasking

Communication

Education

High School Diploma or GED

Tools

Epic

Word

Excel

Outlook

PowerPoint

Job description

Department:

UHC: Surgery - Shared 2

Job Summary:

Coordinator-Referral & Surgery manages and coordinates the authorization process for patients of all reimbursement types for any services requiring such authorization. Ensures all referrals received from providers are complete with necessary information to facilitate authorization process. Processes pre-certifications for ancillary testing as required. Assists in directing front office personnel, performing various functions, monitoring productivity, emphasizing completeness, accuracy and concern for the patient. Provides assistance and training to clinical office staff with insurance issues and assists patients with referral and insurance related issues. All activities must be conducted in a highly confidential, professional and personable manner. Provides high quality service to all customers. Performs other duties as needed.

Education and Experience:

High School Diploma or GED required. One year front office experience required. Clinical office experience preferred.

Knowledge and Skills:

Current working knowledge of all insurance types and their guidelines, including the ability to read and interpret EOB's. Working knowledge of current ICD and CPT coding systems required. Knowledge of Epic system preferred. Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/ troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications:

Valid Driver's License at time of hire.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at [phone].

Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant’s consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!