Referrals & Medical Records Operations Lead

Gracelight-Community-Health; Lancaster (CA); On-site; USD 73,000 - 90,000; Full time

Benefits offered by this job

Stipend for business cell phone

Job summary

Gracelight-Community-Health is seeking a Referrals Manager to lead the centralized Referrals and Medical Records departments at its Los Angeles HQ. You will oversee workflows, ensure timely referrals and authorizations, and maintain compliant release and retention of records.

You will supervise staff, set KPIs, manage budgets, and partner with providers, health center leadership, and IS to optimize processes and reduce delays.

Qualifications

• Three or more years of experience in referral management, medical records, patient access, or healthcare operations.
• Two or more years of supervisory experience.
• Experience with Medi-Cal and Medicare managed care authorization processes, HIPAA, and California medical records law.
• Experience with an electronic health record (OCHIN Epic preferred), referral management systems, and LANES.
• RHIT or RHIA certification preferred.
• Advanced Excel skills.
• Bilingual English/Spanish strongly preferred.

Responsibilities

• Directs day-to-day operations of Referrals and Medical Records departments, including workflows and service standards.
• Supervises staff: hires, trains, schedules, coaches, evaluates, and manages performance.
• Ensures referrals and authorizations comply with payer requirements and timelines.
• Manages HIPAA-compliant release, storage, and retention of records.
• Monitors KPIs and leads quality improvement and corrective actions.

Skills

Bilingual English/Spanish

Advanced Excel

Analytical reporting

Healthcare operations

Education

Bachelor's degree in healthcare administration or related field

RHIT or RHIA certification preferred

Tools

OCHIN Epic

LANES

Managed care portals

Job description

Gracelight-Community-Health is seeking a Referrals Manager to lead the centralized Referrals and Medical Records departments at its Los Angeles HQ. You will oversee workflows, ensure timely referrals and authorizations, and maintain compliant release and retention of records.

You will supervise staff, set KPIs, manage budgets, and partner with providers, health center leadership, and IS to optimize processes and reduce delays.