- Processes incoming referral requests daily.
- Reviews referral orders for accuracy of codes and supporting documentation.
- Receives, processes and verifies accuracy of authorizations.
- Receives and processes specialty notes to primary care physician to facilitate on-going authorizations for continued care.
- Serves as liaison and authorization resource to clinic staff, outside medical groups and patients.
- Knowledgeable and familiar with insurance policies, referral and authorization processes. Works with insurance companies / managed care groups to ensure pre-visit information is sent to patients as needed.
- Utilizes exceptional customer service skills in performing duties and assists with problematic referral and authorization process. Ability to resolve problems in a timely manner.
- Recommends improvements to department processes as appropriate.
- Contacts insurance company(s) to verify patient eligibility and benefits.
- Contacts patients as needed to update demographics. Informs patients/guarantors of their financial responsibility for scheduled services.
- Informs patients and/or clinic staff of any insurance problems affecting future services.
- Develops and maintains professional working relationships with outside providers, vendors and insurance groups involved in the referral process. Ability to work cohesively with all other SACHS departments.
- Ability to collaborate, teach, support and function in a teaching organization that builds, coaches and embraces interns and residency programs. Must demonstrate a passion for the team and have the ability to consistently work with rotating doctors, residents and interns, while continuously building a trusting, safe, patient centered workplace.
- Demonstrate the ability to be culturally sensitive and respect diversity, work effectively and with individuals of different cultures and socioeconomic status; Passion for service.
- Perform other duties as assigned by the Manager.
- Education: High School Diploma or equivalent required.
- Licensure/Certification: N/A
- Experience: Minimum of two year's referral experience required within the medical field. Medical terminology required. As a requirement of this position you must receive EPIC certification for the module you have been hired into.
- Essential Technical/Motor Skills: Must have proficient computer skills including data entry (35wpm). Must be able to use a variety of office equipment including fax machine, scanner, printer and copier.
- Interpersonal Skills: Must have professional telephone etiquette combined with a pleasant and courteous voice. Strong public relations skills are essential. Fluency in English and Spanish required. The ability to translate medical information is preferred. Must possess the ability to maintain a professional attitude in difficult situations and communicate effectively. Must perform as a team player.
- PTO and Sick Leave Plans
- Medical / Dental / Vision package
- Monthly Health Insurance Premium Rates among the lowest in the industry
- Retirement Account with up to 8% employer contribution
- Employer-paid Life Insurance
- Fitness Facility access
- 9 Paid Holidays
- 1 Paid Birthday Holiday
-
NOR - Billing Specialist - M-Th - 10 HR
2 weeks ago
SAC Health San Bernardino, United StatesWho We Are: · SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice f ...
-
Training for Office Management Clerk
1 week ago
Velocity Enterprises Loma Linda West, United StatesTraining as a Management Assistant (m/f/d) at Loma Linda West · Are you an organizational talent looking to take on interesting and diverse tasks? · Do you want to be part of a cool and motivated team? · Are you searching for a dynamic training company with opportunities for grow ...
-
Eclipse Solutions Loma Linda, United StatesEngineer (m/f/d) in project management part-time / full-time Freiburg im Breisgau, Mannheim, Munich, Stuttgart Job-ID THF2401 Your tasks: Management and coordination of projects in the fields of chemistry, energy and pharmaceuticals Ensuring costs, deadlines and quality Solution- ...
-
Quality Officer
1 week ago
Titan Industries Rialto, United StatesQuality Officer (m/f/d) - House at Bürgerpark · As a Quality Officer, you ensure that all processes required for the quality management system are implemented, realized and maintained at our location. You accompany, organize and coordinate the development of individual measures a ...
-
SilverLinx Grand Terrace, United StatesDual Student in Business Informatics (m/f/d) at Grand TerraceWE ARE · Ratiodata SE is one of the largest system houses and technology partners in Germany with a team of around 1,500 colleagues at 14 locations and branches nationwide. We are a diverse company, offering a modern wo ...
-
Remote Family Nurse Practitioner
2 weeks ago
Molina Healthcare San Bernardino, United StatesJOB DESCRIPTION · Job Summary · The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are ...
-
Engineer: Environmental Planning
1 week ago
Horizon Innovations Grand Terrace, United StatesAre you passionate about contributing your own ideas to projects? Come join one of the largest engineering firms in Germany. Our team offers exciting tasks and various opportunities for professional and personal development. Help us with the modernization and maintenance of our r ...
-
Infinity Systems Highgrove, United StatesHighgrove is one of the largest engineering firms for information and telecommunications technology in the entire railway sector. We plan, coordinate, and implement the digital ITK infrastructure of the future nationwide, making a significant contribution to the mobility revoluti ...
-
Center Medical Director
3 weeks ago
InnovAge San Bernardino, CA, United StatesInnovAge s Program of All-inclusive Care for the Elderly (PACE) is an alternative to nursing facilities. Our clinics have worked through PACE for more than 30 years. InnovAge PACE is a program that provides seniors customized healthcare and social support at a nearby PACE center ...
-
Early Head Start Teacher
3 weeks ago
Volunteers of America Southwest San Bernardino, United StatesJob Details · Job Location: CCP Early Head Start SB - San Bernardino, CA · Salary Range: $ $28.00 · Description · WHO WE ARE: · Volunteers of America is an exceptional place to work. Our goal is that all of our students become self-motivated, competent, and lifelong learners, The ...
-
Crisis Intervention Specialist
3 weeks ago
Telecare Corporation San Bernardino, United States· Crisis Intervention Specialist (On Call) - Mental Health 345 · "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare · What You Will Do to Change L ...
-
Mynacsa San Bernardino, United StatesAPPLICATION LINK: · FULL JOB DESCRIPTION · Salary · $146,772.00 $199,014.00 Annually · Location · District Office 550 E. Hospitality Lane Suite 200 San Bernardino, CA · Job Type · Classified Management · Job Number · Department · District Police Department · Opening Da ...
-
Team leader
1 week ago
Skyline Enterprises Fontana, United StatesAre you ready to take the next step in your career? In an environment characterized by appreciation and recognition? Then we have something for you. At Sommerberg, we are passionately committed to the well-being of children, adolescents, families, and people with diverse needs. T ...
-
Locums Psychiatrist
1 week ago
She Recruits, LLC Loma Linda, United StatesLocums Psychiatrist Physician for Veterans Affairs Loma Linda Healthcare System · Position Title: Psychiatrist PhysicianLocation: Veterans Affairs Loma Linda Healthcare System (VALLHS)Work Schedule: Full-time, 8:00 AM-4:30 PM M-FLength of Contract: 52 weeks · Job Description: · ...
-
Licensed Physical Therapist
3 weeks ago
Jacobo PT Loma Linda, United StatesJob Description · Job DescriptionPhysical Therapist DPT from $105, $120,000.00 per year based upon experience · Bakersfield CA · Company Mission: · Jacobo Physical Therapy opened its doors in 1993 and now operates multiple facilities in Bakersfield California specializing in Outp ...
-
Yard Hostler
5 days ago
EFP Staffing Rialto, United StatesJob Description · Job DescriptionURGENTLY HIRING GREAT OPPORTUNITY · Seeking an experienced Yard Hostler to start immediately. · General Position Summary: · Switch trailers from the yards to the dock and vice versa · Essential Functions. · Switches trailers from the yards to the ...
-
Maintenance Supervisor
1 day ago
Athens Services Rialto, United StatesSummary · Maintenance Supervisor is responsible for the efficient operation of the maintenance department and for the general supervision of Mechanics and Cleaners. Prioritizes workload according to safety factors and operational needs and ensures workload is evenly distributed. ...
-
WLI Welder
4 days ago
Winpak Lane Inc Rialto, United StatesSummary: · Welds component parts together to form Sub-Assemblies. Responsible for assembling pieces of metal together or repairing damage in metal components using heavy machinery that emits high heat, melting the metal into shape. Their duties include reviewing blueprints, cutt ...
-
Heavy Equipment Maintenance Manager
3 weeks ago
Athens Services Rialto, United StatesSummary · The Maintenance Manager - will oversee all maintenance and repair activities working with the Heavy Equipment Maintenance Supervisors to ensure that the repairs and maintenance of all company equipment is being completed in a safe and timely manner according to company ...
-
WLI Environment Health Safety Specialist
23 hours ago
Winpak Rialto, United StatesAs the Environmental Health and Safety Specialist, you will be responsible for creating and enforcing a culture of safety within the organization. · Safety - responsible for developing and maintaining company safety procedures and oversees the WLI safety program, safety committe ...
HSP - SP Referral Coordinator - M-Th - 10 HR - San Bernardino, United States - SAC Health
Description
About SAC Health:SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish.
SAC Health's Core Values:
Quality Healthcare - providing patient-centered, culturally-sensitive, equitable care that is safe, timely, effective, efficient, while seeking to prevent illness & disability
Teamwork - working together to achieve a common goal, with a willingness to serve each other in a Christ-like manner
Wholeness - ministering to the spiritual, physical, mental & emotional needs of others
Integrity - living & working in an authentic, honest way that inspires trust
Compassion - engaging with the needs & suffering of others, out of concern for their well-being
Excellence - striving to exceed expectations for our patients, community, & staff
Humble Service - caring with a kind & selfless spirit
Respect - holding others in high regard by empowering them to reach their God-given potential
DESCRIPTION:
The Referral Coordinator understands referral/authorization process for multiple payer sources. Offers guidance to providers on the ordering of referrals as needed. Processes and ensures completion of referral orders to specialists. Works under the supervision of the Referrals Supervisor to ensure accurate and timely review and processing of authorizations. Requires exceptional accuracy, organization, communication and office and interpersonal skills. Performs other duties as needed.
Schedule: 4 days per week, 10 hours per day
ESSENTIAL FUNCTIONS AND DELIVERABLES:
Full Benefits Package:
SAC Health complies with applicable Federal and State civil rights laws and does not discriminate based on race, color, national origin, age, disability, sex, sexual orientation or gender identity.