Referral Coordinator

Talentify

Goleta (CA)

On-site

USD 20,000 - 28,000

Full time

9 days ago

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Benefits offered by this job

Medical, dental & vision
401(k) Retirement Plan
Pre-tax and Roth post-tax benefits
Life Insurance
Short and long-term disability
HSA and Transportation benefits
PTO / Vacation or Sick Leave

Job summary

Talentify in Goleta, CA is seeking a Referral Coordinator to coordinate referrals to specialty providers, verify coverage, and obtain authorizations within the EHR system.

The role requires strong attention to detail, excellent communication, and the ability to manage high referral volumes while maintaining accurate documentation and timely updates to patients and providers.

Qualifications

  • Minimum 1 year of experience in referrals, authorizations, or medical office settings.
  • Knowledge of HMO, PPO, Medi-Cal/Medicaid referral processes.
  • Experience using EHR/EMR systems and medical terminology.
  • Strong organizational and multitasking abilities.
  • Excellent written and verbal communication skills.

Responsibilities

  • Process and coordinate referrals to specialty providers accurately and timely.
  • Verify patient insurance eligibility and obtain prior authorizations as required.
  • Submit referral requests to health plans, IPAs, and specialty offices and track status.
  • Attach all required documentation to referral requests (chart notes, labs, imaging).
  • Communicate referral updates and authorization statuses to patients, providers, and offices.
  • Maintain accurate documentation within the EHR system.
  • Follow up on pending referrals to prevent delays in care.
  • Collaborate with front office staff, clinical staff, and providers to support coordinated care.
  • Manage high referral volumes with accuracy and attention to detail.
  • Use medical terminology and knowledge of medical records to process referrals.

Skills

Referral workflows
Prior authorizations
Insurance verification
Strong communication
Organizational skills
Multitasking
Attention to detail
Problem solving

Tools

EHR/EMR systems

Job description

About this job

Job Title: Referral Coordinator

Job Description

The Referral Coordinator is responsible for coordinating internal and external referrals to specialty providers, ensuring timely authorizations, accurate documentation, and seamless patient care coordination. This role works closely with patients, providers, insurance carriers, and specialty offices to manage referral workflows, verify coverage, obtain authorizations, and maintain records within the electronic health record (EHR) system.

Responsibilities

  • Process and coordinate referrals to specialty providers in a timely and accurate manner.
  • Verify patient insurance eligibility and obtain prior authorizations as required.
  • Submit referral requests to health plans, IPAs, and specialty offices while tracking status through completion.
  • Ensure all required documentation, including chart notes, laboratory results, and imaging reports, is attached to referral requests.
  • Communicate referral updates and authorization status to patients, providers, and specialty offices.
  • Maintain accurate documentation within the EHR system.
  • Follow up on pending referrals to ensure timely completion and prevent delays in patient care.
  • Collaborate with front office staff, clinical staff, and providers to support coordinated care.
  • Manage a high volume of referrals while maintaining accuracy and attention to detail.
  • Utilize medical terminology and knowledge of medical records to process referrals effectively.

Required Qualifications

  • Minimum 1 year of experience in referrals, prior authorizations, insurance verification, or a medical office setting.
  • Knowledge of HMO, PPO, Medi-Cal, Medicaid, and managed care referral processes.
  • Experience using EHR/EMR systems.
  • Understanding of medical terminology and medical records.
  • Strong organizational and multitasking skills.
  • Ability to manage high referral volumes while meeting deadlines.
  • Excellent written and verbal communication skills.
  • Strong attention to detail and problem-solving abilities.

Preferred Qualifications

  • Experience working in a community clinic, specialty practice, hospital, or managed care environment.
  • Familiarity with IPAs and referral authorization workflows.
  • Experience working with multiple insurance carriers and health plans.
  • Fast-paced healthcare setting
  • Collaborative, team-oriented environment
  • Heavy use of EHR/EMR systems and referral management tools
  • Growth opportunities within an established healthcare organization

Job Type & Location

This is a Contract position based out of Goleta, CA.

Pay and Benefits

The pay range for this position is $23.00 - $26.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographical location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Goleta, CA.

Application Deadline

This position is anticipated to close on Oct 25, 2026.

Workplace Type

This is a fully onsite position in Goleta,CA.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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Upperline Health · Chula Vista, California

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