Top 16 Authorization specialist Jobs in Rancho Cordova Ca

Referral Coordinator
Elica Health Centers —Sacramento, CA
- $25 - $29 an hour
- Full-time
- Current TB test
- Medical office experience
- Pass drug screening
- Continuing education credits
- COVID-19 protective measures
Quick Apply
12d
HEALTH PROGRAM SPECIALIST I
California Correctional Health Care Services —Sacramento County, CA
- $6,623 - $8,290 a month
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
- Free parking
1d
Appeals & Grievances Specialist I
Western Health Advantage —Sacramento, CA
- $22 - $25 an hour
- Full-time
- Microsoft Excel
- Research
- Mid-level
Quick Apply
HEALTH PROGRAM SPECIALIST II
California Correctional Health Care Services —Sacramento County, CA
- $7,276 - $9,107 a month
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
- Free parking
4d
HSS I (Medical Assistant) (Roseville)
Planned Parenthood Mar Monte, Inc. —Roseville, CA
- $23 - $25 an hour
- Weekends as needed
- Computer literacy
- Windows
- High school diploma or GED
Quick Apply
HSS I (Medical Assistant) (North Highlands)
Planned Parenthood Mar Monte, Inc. —North Highlands, CA
- $23 - $25 an hour
- Weekends as needed
- Computer literacy
- Windows
- High school diploma or GED
Quick Apply
Patient Access Representative Full Time
West Coast Joint and Spine (13106) —El Dorado Hills, CA
- $25 an hour
- Full-time
- HIPAA
- Typing
- Outpatient
- Health savings account
- AD&D insurance
Customer Care Specialist
Super Care, LLC —Rancho Cordova, CA
- $17.00 - $28.35 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Computer literacy
- Paid training
- Health insurance
Quick Apply
1d
Medical Assistant 1 - Urology Clinic
UC Davis Health —Sacramento, CA
- $29.78 - $37.02 an hour
- 8 hour shift
- Background check
- CPR Certification
- BLS Certification
- Continuing education credits
- Paid holidays
3d
Medical Biller, Coder, and Credentialing Specialist
Verity MD —Folsom, CA
- $22 - $30 an hour
- Part-time
- Mid-level
- Administrative experience
- Clinic
Quick Apply
4d
NURSE SURVEYOR SUPERVISOR II
Department of Public Health —Sacramento County, CA
- $8,660 - $10,758 a month
- Online Application
- Hybrid work
- Nursing
- Mid-level
- Office
13d
Program Services Specialist
University of the Pacific —Sacramento, CA
- $22.68 - $30.04 an hour
- Weekends as needed
- Background check
- School experience
- Microsoft Excel
Medical Assistant- MMF Gastroenterology CP
Marshall Medical Center —Cameron Park, CA
- $21.00 - $24.15 an hour
- Full-time
- Vital signs
- Writing skills
- BLS Certification
5d
Medical Assistant- MMF Family Med CP
Marshall Medical Center —Cameron Park, CA
- $21.00 - $24.15 an hour
- Full-time
- Vital signs
- Writing skills
- BLS Certification
Specialty Patient Care Coordinator
Bright Now! Dental —Sacramento, CA
- $23 - $25 an hour
- Bilingual
- Dental office
- Sales
- Health savings account
- Disability insurance

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HEALTH PROGRAM SPECIALIST I
California Correctional Health Care Services —Sacramento County, CA
Under the direction of the Supervisor II in the Statewide Mental Health Program (SMHP), and the Office of the Coleman Receiver (OCR), the Health Program…
$6,623 - $8,290 a month
5d
HEALTH PROGRAM SPECIALIST I
Department of State Hospitals —Sacramento County, CA
The HPS I serves as a highly skilled technical consultant in contract and fiscal management and program implementation activities to ensure departmental…
$6,623 - $8,290 a month
6d

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Medical Scribe
Oak Street Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17.00 - $28.46 an hour
Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
Quick Apply
13d

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Referral Coordinator

Elica Health Centers -
Sacramento, CA

Quick Apply

Job Details

Full-time
$25 - $29 an hour
12 days ago

Benefits

Continuing education credits
AD&D insurance
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)

Qualifications

HIPAA compliance
Medicare
Professional ethics
HIPAA
High school diploma or GED
Medicaid health insurance
ICD-9
ICD-10
Driver's License
Working with individuals from diverse cultural backgrounds
Clinical confidentiality policies
Experience working with individuals from underserved communities
Medical terminology

Full Job Description

Description:

Join Elica’s mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.

WHAT YOU'LL DO:

The Referral Coordinator is responsible for coordinating specialty care for patients in need of external consultation as requested by the provider. Responsibilities will also include obtaining authorization, tracking and maintaining appropriate documentation to support both providers and patients. Coordinates and ensures the smooth flow of the referral and authorization process to meet the needs of our patients, establish collaborative relationships with community specialists and insurance companies, and represent the organization professionally and positively.

BENEFITS:

Elica is proud to offer an exciting benefits package to qualifying full-time employees which can support your health, your family, and help you plan for the future.

Healthcare: Medical (Kaiser or Western Health Advantage), Dental, Vision
Company funded Health Reimbursement Arrangement (HRA) to help pay for out-of-pocket costs related to medical coverage
FSA Plans: 2 options for Flexible Spending Accounts - Health Care FSA and Dependent Care FSA
403B retirement savings account with up to 4% employer matching contribution and 100% immediate vesting.
Company paid basic Life and AD&D Insurance. (supplemental life and AD&D options available)
Paid time off and paid holidays.
Employee Assistance Plan with five (5) free counseling visits, financial services, legal services, and a plethora of online resources.
Tuition Reimbursement program and CME/CEU program.

Learn more about Elica’s services and mission at our website or check us out on Facebook.

Requirements:

WHAT ARE WE LOOKING FOR?

The successful candidate will be willing and able to:

Coordinate the authorization and referral process for each assigned referral.
Process referrals for requested services, ensuring timely and thorough completion.
Monitor referral requests for completeness and take appropriate steps to review, request and obtain additional information when requested services are incomplete or inconsistent with scope of service.
Assist providers, Patients and/or internal customers with cases pertaining to referral questions, issues and authorizations
Provide accurate data entry of referral or authorization information into the electronic medical record.
Send complete information to patient' insurance (when applicable) and referring specialist in order to coordinate referral.
Consistently utilize the department's documentation protocols.
Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
Ensure referral is completed according to the department guidelines and within the appropriate time frame.
Make outreach efforts to insurances, patient, specialist office and care team as set forth by department guidelines and clinical priorities.
Handle telephone calls in a friendly, courteous and sensitive manner.
Return calls and follow up in a timely manner.
Interacts collaboratively with clinical staff, other ancillary departments, and outside entities (specialist office, insurances, etc.).
Resolves differences in a spirit of cooperation and creates solutions, which benefits all parties, especially clinic patients.
Assist and support the Center/Department/Program to meet standards of high reliability.
Performs other related duties as indicated or when requested by the manager.

The successful Candidate has:

High School Diploma or GED Equivalent
Completion of a formal Medical Assistant or Medical Office Assistant program preferred or demonstrated comparable combination of training and experience.
One (1) year of experience preferred in referrals or patient services in a medical clinic or healthcare setting
Prior experience using Electronic Health Records systems- Epic Preferred
Requires knowledge of medical and billing terminology (ICD-9/10 and CPT codes).
Requires understanding of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state agency programs.
Ability to work with minimal supervision and use good judgment, at times under the pressure of deadlines
Commitment to HIPAA, maintaining and abiding by standards of professional ethics and confidentiality.
Demonstrated commitment to the provision of services for the underserved and sensitivity working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic, and cultural origins; disabled, homeless, substance users, HIV (AIDS) infected, and/or physiologically impaired.
Adherence to all Elica policies including but not limited to: standards of conduct, time and attendance, and infection control procedures and social distancing policies.

Additional Requirements:

Must have a current and valid California driver’s license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours.
If selected for an employment opportunity with Elica Health Centers, external hires must provide proof of immunizations (Hepatitis B, MMR, Varicella & Tetanus), tuberculosis clearance, and proof of COVID-19 vaccination status* prior to their scheduled start date. Please be advised that this position is subject to criminal background investigation and drug screen.

Physical Requirements and Work Environment:

The work environment is characteristic of normal office conditions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or lift. The employee is occasionally required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet. The employee may be required to run agency related errands and attend off-site meetings; the employee must be able to operate, maneuver and/or control a motor vehicle. In performing the driving responsibilities, the driver may sit for long periods. This requires intense concentration, particularly in poor driving conditions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered.

Compensation starting at - Dependent Upon Experience

$25.00 - $29.00 hour

Quick Apply

Refine Your Search

authorization specialist jobs in rancho cordova ca

Referral Coordinator

HEALTH PROGRAM SPECIALIST I

Appeals & Grievances Specialist I

HEALTH PROGRAM SPECIALIST II

HSS I (Medical Assistant) (Roseville)

HSS I (Medical Assistant) (North Highlands)

Patient Access Representative Full Time

Customer Care Specialist

Medical Assistant 1 - Urology Clinic

Medical Biller, Coder, and Credentialing Specialist

NURSE SURVEYOR SUPERVISOR II

Program Services Specialist

Medical Assistant- MMF Gastroenterology CP

Medical Assistant- MMF Family Med CP

Specialty Patient Care Coordinator

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