Referral & Care Coordination Specialist

MACT Health Board Inc; Ione (CA); On-site; USD 36,000 - 41,000; Full time

Benefits offered by this job

No-cost health insurance

403(b) retirement plan

PTO including vacation and sick time

Student Loan Repayment Program

Continuing Education reimbursement

Job summary

MACT Health Board Inc in California seeks a Referral Specialist to coordinate referrals, diagnostic orders and surgery scheduling within a clinical setting. You will verify insurance, obtain authorizations, and transmit records to outside facilities while coordinating appointments.

Required are a high school diploma, medical terminology knowledge, and medical office experience; HIPAA compliance and ongoing documentation are essential. BLS/ALS certification is preferred.

Qualifications

• High school diploma or equivalent.
• Knowledge of medical terminology and HIPAA regulations.
• Experience in medical office settings and referral coordination.
• Familiarity with medical software: Next Gen EPM, EHR, i2i Tracks, Epic or similar.

Responsibilities

• Expedite referrals, diagnostic orders and surgery coordination, including insurance verification and prior authorizations.
• Transmit medical records to outside facilities and facilitate appointment scheduling for specialty care.
• Perform follow-ups on referrals: verify receipt, track activities and attach records to charts.
• Respond to inquiries via phone, fax and email, maintaining professional communication and courtesy.

Skills

Medical Terminology

Medical Office Experience

HIPAA Knowledge

Attention to Detail

Education

High school diploma or equivalent

Tools

Next Gen EPM

EHR

i2i Tracks

Epic

HIEs

Job description

MACT Health Board Inc in California seeks a Referral Specialist to coordinate referrals, diagnostic orders and surgery scheduling within a clinical setting. You will verify insurance, obtain authorizations, and transmit records to outside facilities while coordinating appointments.

Required are a high school diploma, medical terminology knowledge, and medical office experience; HIPAA compliance and ongoing documentation are essential. BLS/ALS certification is preferred.