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Referral Specialist II

4 months ago

Los Angeles, California, United States AltaMed Health Services Full time

Work Boldly. Live Brilliantly.

At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.

Job Overview

This position is responsible for providing support to the Medical Management and inter-departmental staff and assisting providers and members/patients with the referral process and status questions and as a resource for patients, providers, staff and external customers regarding authorizations and third-party reimbursement policies as well as facilitating processing of most complex issues with patients and third-party payor issues.

Minimum Requirements

1. High school diploma required. Medical Assistant Certificate or Medical Billing Certificate preferred.

2. Minimum two years experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required.

3. Prior Utilization Management Experience also required.

4. Prior Lead position experience and Bilingual English/Spanish preferred.

Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Salary Range

$ $24.00 hourly