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Authorization/Referral Coordinator

2 months ago

Oceanside, California, United States Tri-City Healthcare District Full time
Job Summary

We are seeking a highly skilled Authorization/Referral Coordinator to join our team at Tri-City Healthcare District. As a key member of our clinical operations team, you will be responsible for coordinating referrals, obtaining authorizations, and ensuring seamless communication with physicians and clinical staff.

Key Responsibilities
  • Referral Coordination: Maintain accurate and up-to-date patient schedules, prepare medical records, and ensure all necessary paperwork is completed before each visit.
  • Authorization Management: Obtain authorizations as required by individual insurance companies, accurately enter notes regarding letters or correspondence from insurance companies, and communicate with clinic staff and specialists for clinic visits.
  • Communication and Collaboration: Collaborate with clinic staff and specialists to ensure smooth clinic visits, coordinate transportation of patients, and maintain a safe and clean working environment.
  • Administrative Tasks: Assist with charge posting of clinic visits, maintain office and clinical supplies, and perform other duties as required by Manager or Director.
Requirements
  • Minimum 3 years of experience in a clinic, hospital, or other healthcare environment, with expertise in insurance authorizations and referral processes.
  • Proficient skills in Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
  • Excellent customer and communication skills, with the ability to work independently and effectively in a fast-paced environment.
  • Knowledge of medical terminology and experience with scheduling patients and physicians for clinic visits.
  • Understanding of policies and procedures for patient treatment and compliance with JACHO standards.
Education and Certifications
  • High School diploma or equivalent required.
  • Certificate of completion of a nationally certified Medical Assistant program preferred.