Referral & Authorization Specialist

Doctors On Duty; Salinas (CA); On-site; USD 33,000 - 37,000; Full time

Job summary

Cypress Healthcare Partners/Salinas Valley Health Clinics in Salinas, CA is seeking a Referral Coordinator to manage referrals, track status, and ensure accurate documentation across patient records and insurer communications.

The role requires exceptional organization, the ability to handle a demanding workload, knowledge of ICD-10 and CPT codes, and coordination with clinic managers and providers.

Qualifications

• Must have strong communication with clinic managers and referring providers.
• Experience in healthcare or similar customer service roles preferred.
• Knowledge of medical terminology helpful.

Responsibilities

• Process all incoming/outgoing referrals as assigned.
• Maintain tracking and documentation on referral status; address overdue items.
• Escalate delays beyond 14 business days as needed.
• Assemble patient clinical background and referral needs.
• Know ICD-10 and CPT codes; liaise with insurers for prior authorizations.
• Serve as system navigator for patients with outstanding referrals.
• Update patient charts with demographics and insurance data; scan documents.
• Scan all visit documentation into the EHR; cover front-office duties as needed.

Skills

Communication skills

Organizational skills

Attention to detail

Education

High school diploma or GED

Job description

Cypress Healthcare Partners/Salinas Valley Health Clinics in Salinas, CA is seeking a Referral Coordinator to manage referrals, track status, and ensure accurate documentation across patient records and insurer communications.

The role requires exceptional organization, the ability to handle a demanding workload, knowledge of ICD-10 and CPT codes, and coordination with clinic managers and providers.