Referral & Care Coordination Specialist

Family HealthCare Network; Fresno (CA); On-site; USD 52,000 - 62,000; Full time

Job summary

Family HealthCare Network is seeking a Referral Representative to assist patients with referrals, coordinate with insurers for pre-authorizations, verify eligibility, and schedule appointments with external and internal specialists.

The role uses the electronic health record system to document referral activity, generate packets, ensure timely processing, and communicate status to patients and providers.

Qualifications

• High school diploma or GED required, health care knowledge often gained through training.
• Minimum two years' experience in a health care setting.

Responsibilities

• Assist patients with referral completion across multiple service lines.
• Obtain pre-authorizations and verify patient eligibility.
• Coordinate and schedule appointments with specialists and communicate status.
• Ensure correct usage of CPT and ICD-10 codes for payers.
• Document referral processing activity in the EHR and report metrics.

Skills

Communication

Data entry

Customer service

Education

High school diploma or GED

Healthcare knowledge/training

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Family HealthCare Network is seeking a Referral Representative to assist patients with referrals, coordinate with insurers for pre-authorizations, verify eligibility, and schedule appointments with external and internal specialists.

The role uses the electronic health record system to document referral activity, generate packets, ensure timely processing, and communicate status to patients and providers.