Medical Referral Coordinator

6 days ago


Santa Ana, California, United States TEKsystems Full time
Job Title: Outside Referral Coordinator

We are seeking a highly skilled Outside Referral Coordinator to join our team at TEKsystems. As a key member of our team, you will be responsible for reviewing requests for outside medical care, verifying eligibility, coverage, benefits, and confirming provider status, while maintaining compliance timeframes.

Responsibilities:
  • Review and process requests for outside medical care
  • Verify eligibility, coverage, and benefits for patients
  • Confirm provider status and maintain compliance timeframes
  • Collaborate with healthcare providers and insurance companies to ensure seamless care coordination
Requirements:
  • High school diploma or equivalent required
  • 2 years of college preferred
  • CPT and ICD 9/10 coding knowledge
  • Epic/Health Connect experience a plus
  • Medical terminology and strong communication skills
  • Ability to multitask and adapt to frequent change
Preferred Experience:
  • Medical office background
  • Claims processing or other insurance carrier experience
Benefits:
  • Medical, dental, and vision insurance
  • Critical Illness, Accident, and Hospital insurance
  • 401(k) Retirement Plan
  • Life Insurance
  • Short and long-term disability insurance
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

TEKsystems is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.



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