Referral Coordinator for Healthcare Access

MACT Health Board Inc; Sonora (CA); On-site; USD 35,000 - 41,000; Full time

Benefits offered by this job

No-cost health insurance

403(b) plan

Paid time off

Student loan repayment

Direct student loan contributions

CE reimbursement

Competitive hourly wage

Job summary

MACT Health Board Inc. seeks a detail-oriented Referral Specialist for a full-time clinical role. You will manage referrals, diagnostic orders and surgery coordination, ensuring timely processing and proper documentation.

Responsibilities include insurance verification, prior authorizations, transmitting medical records to outside facilities, scheduling specialty appointments, and maintaining accurate referral tracking. A high school diploma, Medical Terminology, and HIPAA training are required.

Qualifications

• High school diploma or equivalent.
• Medical Terminology.
• Medical Office experience.
• One year of experience as a referral clerk or similar duties.
• One year of experience as a medical receptionist, medical assistant, or procedure scheduler.
• Knowledge of medical computer programs: Next Gen EPM, EHR, i2i Tracks, Epic and other HIE’s.
• Knowledge and training in HIPAA regulations related to patient care documentation, eligibility process and compliance.
• Good detail analysis, accuracy, oral and written communication, patience and tact.
• Current BLS/ALS certificate
• Must pass Occupational Health Screening.
• Must possess a valid form of identification as listed on the U.S. Department of Justice I-9 form, verified using the E Verify system.
• Clean DMV driving record and MACT auto insurance driving eligibility (determined by auto insurance carrier).

Responsibilities

• Expedite the delivery of referrals, diagnostics orders and surgery coordination of patients including: insurance verification and prior authorizations.
• Transmission of all required medical records to outside facilities.
• Facilitate appointment scheduling or rescheduling for specialty care.
• Completion of follow-up on all including: confirming receipt of referrals, referral tracking and documentation of activities to include all elements of a referral, receipt of medical records and attaching them to the medical chart.
• Respond to telephone calls, faxes and e-mails regarding referrals and provide information with respect and courtesy while being effective and efficient.
• Demonstrate ongoing knowledge and documentation of appropriate referral resources, required forms and key contact persons.
• Connect and communicate with medical staff such as providers, medical assistants, and other MACT staff at outside facilities, to ensure efficient workflows.

Skills

Attention to detail

Communication skills

Patience and tact

Detail oriented

Education

High school diploma

BLS/ALS certification

Tools

Next Gen EPM

EHR

i2i Tracks

Epic

Job description

MACT Health Board Inc. seeks a detail-oriented Referral Specialist for a full-time clinical role. You will manage referrals, diagnostic orders and surgery coordination, ensuring timely processing and proper documentation.

Responsibilities include insurance verification, prior authorizations, transmitting medical records to outside facilities, scheduling specialty appointments, and maintaining accurate referral tracking. A high school diploma, Medical Terminology, and HIPAA training are required.