Referral Coordinator I — Patient Access

Commonspirit-Health; Santa Maria (CA); On-site; USD 42,000 - 55,000; Full time

Job summary

Commonspirit-Health is seeking a Referral Specialist to orchestrate patient access by managing referrals and authorizations for specialty visits, ancillary services, medications, and other vital care. The role requires detailed organization and clear communication to ensure smooth service delivery for patients in the Santa Maria area.

The position involves coordinating referrals with physicians, patients, and payers, scheduling appointments, and ensuring timely processing of all documentation in

Qualifications

• High School Diploma or GED required.

Responsibilities

• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physicians, patients, and insurance payers.
• Communicate detailed information and answer patient questions regarding their health care plan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patients.
• Enter referrals, documents, communications and action into the system, as appropriate.
• Prioritizes referrals by their urgency and addresses them in a timely manner.

Skills

High School Diploma

Education

High School Diploma or GED

Job description

Commonspirit-Health is seeking a Referral Specialist to orchestrate patient access by managing referrals and authorizations for specialty visits, ancillary services, medications, and other vital care. The role requires detailed organization and clear communication to ensure smooth service delivery for patients in the Santa Maria area.

The position involves coordinating referrals with physicians, patients, and payers, scheduling appointments, and ensuring timely processing of all documentation in