External Referral Coordinator

2 weeks ago


Santa Ana, California, United States TEKsystems Full time
Job Overview

TEKsystems is in search of an External Referral Coordinator to support a prominent Healthcare Insurance organization.

Position Summary:

The role involves:

  • Facilitating the processing of external referrals and managing workflows within the External Referral Department.
  • Providing exceptional customer service and effective communication regarding external referrals.
  • Conducting data entry and analysis with a keen attention to detail.
  • Reviewing requests for outside medical services.
  • Managing high volumes of incoming calls.
  • Verifying eligibility and coverage benefits, confirming provider status, and ensuring compliance with established timeframes.

Qualifications:

  • 1-2 years of experience in referral processing, coordinating, coding, medical billing, or claims.
  • Familiarity with CPT codes is essential.
  • Experience in a medical office setting.
  • Background in claims processing or working with insurance carriers.
  • Knowledge of ICD 9/10 coding is required.

Work Schedule:

Standard hours are Monday to Friday, from 8:30 AM to 5:00 PM.

Compensation:

The hourly pay range is $23 to $26.

About TEKsystems:

We are committed to driving transformation for our clients by activating innovative ideas and solutions. With a robust team of 80,000 professionals, we collaborate with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. As a leader in Full-Stack Technology Services and Talent Services, we partner with forward-thinking leaders to foster change. TEKsystems is a proud member of the Allegis Group.

Equal Opportunity Employer:

TEKsystems is an equal opportunity employer and welcomes applications from all individuals without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.



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