Referral & Care Coordination Specialist

ADP, Inc.; Ione (CA); On-site; USD 36,000 - 41,000; Full time

Job summary

MACT Health Board, Inc. in California seeks a Referral Specialist for a full-time clinical setting.

You will manage referrals, diagnostic orders and surgery coordination for patients to outside facilities, ensuring timely follow-up and proper documentation. Responsibilities include insurance verification, prior authorizations, transmitting records, scheduling, and coordinating with medical staff at external facilities to maintain efficient workflows.

Qualifications

• High school diploma or equivalent.
• Medical Terminology is required.
• Medical Office experience is required.
• One year of experience as a referral clerk or similar duties working with referrals.
• Knowledge of medical computer programs: Next Gen EPM, EHR, i2i Tracks, Epic and other HIEs.
• HIPAA regulations knowledge and training.
• Current BLS/ALS certificate.
• Must pass Occupational Health Screening.

Responsibilities

• Expedite the delivery of referrals, diagnostic orders and surgery coordination for patients including insurance verification and prior authorizations.
• Transmission of required medical records to outside facilities and scheduling or rescheduling for specialty care.
• Follow-up on all referrals: confirmation of receipt, tracking and documentation of activities.
• Respond to calls, faxes and emails regarding referrals with respect and courtesy.
• Maintain knowledge of referral resources, forms and key contact persons.
• Coordinate with medical staff at outside facilities to ensure efficient workflows.

Skills

Medical office experience

Medical Terminology

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 for a full-time clinical setting.

You will manage referrals, diagnostic orders and surgery coordination for patients to outside facilities, ensuring timely follow-up and proper documentation. Responsibilities include insurance verification, prior authorizations, transmitting records, scheduling, and coordinating with medical staff at external facilities to maintain efficient workflows.