Referral Specialist

Titanium Healthcare; Merced (CA); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Titanium Healthcare is seeking a Referral Specialist to ensure seamless patient referrals between healthcare providers. This hybrid role involves coordinating referrals, obtaining authorizations, and interacting extensively with patients and insurance companies to facilitate timely care. Ideal candidates will have strong communication skills, a High School Diploma, and a commitment to maintaining patient confidentiality. Join a mission-driven organization with a focus on compassionate care and community impact.

Benefits

Paid Time Off: 12 holidays and up to 15 days of accrued PTO

Medical, Dental, & Vision Benefits

Unlimited therapy sessions funded 100%

401(k) plan

Flexible Spending & Health Savings Accounts

Employee Assistance Programs

Pet Insurance

Qualifications

• 1+ years of experience in customer service, preferably in healthcare or social services.
• Fluent in English with strong communication skills.
• Ability to prioritize tasks in a fast-paced environment.

Responsibilities

• Evaluate referral requests and coordinate with various healthcare providers.
• Verify insurance coverage and handle referral-related issues.
• Maintain accurate records and follow up on referral progress.

Skills

Communication

Organizational skills

Fluency in English

Proficiency in computer applications

Education

High School Diploma

Job description

WE ARE TITANIUM HEALTHCARE

Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

Join us in our mission!

POSITION SUMMARY

The Referral Specialist plays a crucial role in facilitating the seamless transfer of patients between healthcare providers and ensuring that patients receive appropriate care in a timely manner. This position involves coordinating referrals, obtaining necessary authorizations, and communicating with patients, healthcare providers, and insurance companies to ensure smooth transitions of care.

WHERE YOU’LL WORK

This position is hybrid. The ideal candidate is in Central California. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm.

WHAT YOU’LL DO

• Evaluate referral requests for ECM eligibility
• Gather member information and medical records to support referrals
• Coordinate referrals with Titanium staff, hospitals, shelters, and other healthcare entities
• Verify insurance coverage and upload required documents into eClinicalWorks
• Communicate with members to schedule appointments and address concerns
• Maintain accurate records of referral activities and provider communications
• Work with Titanium clinical staff to process internal ECM referrals
• Monitor referral progress and follow up to ensure timely completion
• Resolve referral-related issues, such as insurance denials or missing documentation
• Stay updated on ECM criteria, referral policies, and healthcare service changes
• Conduct telephonic and in-person outreach, assessments, and referrals as needed
• Perform other duties and projects as assigned

WHO YOU ARE

• Fluent in English (written and verbal)
• Strong communication skills, both written and verbal, with the ability to effectively interact with patients, healthcare providers, and insurance companies
• Excellent organizational skills and attention to detail to ensure accurate documentation and timely completion of referrals
• Proficiency in computer applications, including electronic health record systems, scheduling software, and Microsoft Office
• Ability to work independently and prioritize tasks in a fast-paced environment
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice

WHAT YOU’LL NEED

• High School Diploma
• Minimum 1 year of experience in customer service, preferably in healthcare or social services field
• Current and valid Driver’s License with proof of auto insurance
• Distraction-free home workspace with a secure internet connection

NICE TO HAVES

• Prior experience in an outbound call center, community outreach, and canvassing position
• Prior experience in healthcare or social services
• Bilingual in Spanish, Vietnamese, or other languages a plus

WHAT YOU’LL ENJOY

• Make an impact: an organization who cares about its employees, communities, and the future of healthcare
• Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
• Growth: opportunities to develop and grow your career with us
• Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business
• Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
• Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
• Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
• Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
• Flexible Spending, Health Savings & Dependent Care Accounts
• Life/AD&D insurance funded 100% by Titanium Healthcare
• Supplemental Short-Term Disability

• Employee Assistance Programs
• Protect your pet(s) with Pet Insurance
• 401(k) plan

EEO Statement

At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.