Outside Referral Coordinator - Medical Billing

Kaiser Permanente; Downey (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

Kaiser Permanente in Downey, CA seeks a Coordinator for Outside Referral with responsibilities for maintaining records, verifying authorizations, and processing referrals. You will monitor payments and help ensure proper reimbursement for services rendered through outside facilities.

Qualifications include one year of medical billing/claims/referrals, CPT/ICD coding knowledge, and strong communication skills. This on-call role supports regional and local referral desks within the Kaiser system.

Qualifications

• Experience with medical billing, claims and referrals.
• Familiarity with CPT and ICD 9/10 coding.
• Understanding of coverages, benefits and Medicare guidelines.
• Strong math, communication and interpersonal skills.
• Able to work in Labor/Management Partnership environment.

Responsibilities

• Review outside medical service requests and verify authorizations.
• Verify patient eligibility and coordinate with facilities and patients.
• Process billings from outside providers and check charges.
• Determine appropriateness of charges and potential denial routing.
• Follow up on outstanding accounts and maintain referral files.
• Educate hospital staff on Kaiser Outside Medical policies.

Skills

Medical billing

Claims processing

Referral coordination

CPT/ICD coding knowledge

Patient billing inquiries

Education

High School diploma or GED

Job description

Kaiser Permanente in Downey, CA seeks a Coordinator for Outside Referral with responsibilities for maintaining records, verifying authorizations, and processing referrals. You will monitor payments and help ensure proper reimbursement for services rendered through outside facilities.

Qualifications include one year of medical billing/claims/referrals, CPT/ICD coding knowledge, and strong communication skills. This on-call role supports regional and local referral desks within the Kaiser system.