Healthcare Eligibility & Referrals Clerk

Riverside Medical Clinic; Riverside (CA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Challenging environment

Growth opportunities within UHS

Competitive compensation

Job summary

Riverside Medical Clinic in Riverside, CA is seeking a candidate to verify eligibility and benefits for patient services, perform data entry, and handle referrals. The role includes responding to referral inquiries and coordinating with health plans and providers.

Successful candidates will verify benefits, update authorizations, and ensure timely processing to support efficient patient care workflows.

Qualifications

• Ability to review and submit authorization requests to health plan portals.
• Ability to answer questions related to referral inquiries.
• Ability to verify patient benefits and eligibility.

Responsibilities

• Review and submit authorization requests to health plan payor portals while maintaining internal deadlines.
• Answer phone calls regarding questions related to any referral inquiries.
• Monitor messages that are sent to, and received by, provider’s offices within a timely manner.

Skills

Communication skills

Attention to detail

Time management

Education

High school diploma or GED

Tools

Health plan portals

Job description

Riverside Medical Clinic in Riverside, CA is seeking a candidate to verify eligibility and benefits for patient services, perform data entry, and handle referrals. The role includes responding to referral inquiries and coordinating with health plans and providers.

Successful candidates will verify benefits, update authorizations, and ensure timely processing to support efficient patient care workflows.