Top 37 Referral coordinator Jobs in Bakersfield Ca

UM Referral Coordinator I - Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $20.96 - $26.19 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Paid holidays
- Health insurance
Bilingual Psychiatric Nurse Practitioner, California, Remote
Ascend Healthcare —California
- $170,000 - $180,000 a year
- Extended hours
- Remote
- Spanish
- Nursing
- Psychiatry
- Continuing education credits
- Disability insurance
Quick Apply
Utilization Management Coordinator - Managed Care
CENTRIC HEALTHCARE SERVICES —Bakersfield, CA
- $22 - $24 an hour
- Full-time
- Bilingual
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Speech Language Pathologist (SLP) | Relocation $10,000 | Ventura County
Amigo Baby. Inc —California
- From $130,000 a year
- Part-time
- Spanish
- CPR Certification
- Current TB test
- Mileage reimbursement
- Health savings account
Quick Apply
Pediatric Occupational Therapist (OTR/L) | Relocation $10,000 | Ventura County
Amigo Baby. Inc —California
- From $130,000 a year
- Part-time
- Spanish
- CPR Certification
- Current TB test
- Paid training
- Mileage reimbursement
Quick Apply
Patient Coordinator
American Skin Cancer Institute LLC —Bakersfield, CA
- $19.00 - $26.75 an hour
- Full-time
- Background check
- Word processing
- Computer literacy
Quick Apply
2d
Medical Referral Clerk
Premier Valley Medical Group —Bakersfield, CA
- From $23 an hour
- Full-time
- Spanish
- Customer service
- English
- Health insurance
- Dental insurance
Quick Apply
Healthcare Coordinator
PDS Health —Bakersfield, CA
- $18.00 - $25.50 an hour
- Full-time
- Dental office
- Computer literacy
- Local
- Health insurance
- Dental insurance
Enhanced Care Management Care Coordinator
OMNI FAMILY HEALTH —Bakersfield, CA
- $24.00 - $28.20 an hour
- Weekends as needed
- Spanish
- BLS Certification
- HIPAA
Quick Apply
14d
Bilingual Receptionist/Referral Coordinator
Jorge A. Enriquez, MD, F.A.C.S. Inc. —Bakersfield, CA
- $18 an hour
- Full-time
- Spanish
- Medical office experience
- HIPAA
- Health insurance
- 401(k)
Quick Apply
1d
Transplant Coordinator 1
OneLegacy —Bakersfield, CA
- $84,788.34 - $108,879.23 a year
- 12 hour shift
- Heavy lifting
- Mid-level
- Ability to lift 50 pounds
- Paid jury duty
- Mileage reimbursement
Quick Apply
Patient Care Coordinator Ophthalmology and Elective Vision Services
Luxor Eye Institute —Bakersfield, CA
- Part-time
- Spanish
- English
- Mid-level
- 401(k)
- 401(k) matching
Quick Apply
1d
LVN Care Coordinator
Millennium Healthcare Services, Inc. —Bakersfield, CA
- $35 - $50 an hour
- Overtime
- CPR Certification
- Nursing
- Management
Quick Apply
RN Case Management
BAKERSFIELD FAMILY MEDICAL GROUP, INC. —Bakersfield, CA
- $53.77 - $63.26 an hour
- Monday to Friday
- Nursing
- RN License
- Computer literacy
Quick Apply
8d
LVN Care Coordinator (Home Health)
TARLANI Healthcare —Bakersfield, CA
- $35 - $50 an hour
- Overtime
- CPR Certification
- Nursing
- Management
LVN Care Coordinator
Alliance Health Services, Inc. —Bakersfield, CA
- $35 - $50 an hour
- Overtime
- CPR Certification
- Nursing
- Management
Quick Apply
Came to Believe Recovery and Ministries Coordinator -Bakersfield ARC
The Salvation Army ARC Bakersfield —Bakersfield, CA
- $20 an hour
- Overtime
- Background check
- Clean driving record
- Addiction Medicine
SENIOR PSYCHOLOGIST, CORRECTIONAL FACILITY (SPECIALIST)
California Correctional Health Care Services —Kern County, CA
- $11,369 - $14,633 a month
- Full-time
- Current TB test
- Driver's License
- Driving
- Referral program
Physician (Primary Care)
US Veterans Health Administration —Bakersfield, CA
- $270,000 - $315,000 a year
- Online Application
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program
Speech and Language Specialist/Therapist
Bakersfield City School District —Bakersfield, CA
- $71,150 - $168,037 a year
- Part-time
- Bilingual
- Mid-level
- Children

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UM Referral Coordinator I - Bakersfield 1.1

Universal Healthcare MSO LLC -
Bakersfield, CA

Apply Now

Job Details

Full-time
$20.96 - $26.19 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Description:

Employment Details:

Location: Bakersfield, CA 93307 (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule: This position is expected to work a regular schedule of 9:00 a.m. to 6:00 p.m. Pacific Time to support departmental operational needs.

Benefits:

Medical
Dental
Vision
Paid Time Off (PTO)
Floating Holiday
Simple IRA Plan with a 3% Employer Contribution
Employer Paid Life Insurance
Employee Assistance Program

Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $20.96 and $26.19. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:

Reporting to the Utilization Management leadership, the Referral UM Coordinator plays a pivotal role in furnishing essential clerical support and aiding the clinical team within the UM department on a day-to-day basis. This pivotal position assumes responsibility for efficiently handling a substantial volume of prior authorization requests. The UM Referral Coordinator ensures that all orders and referrals align with the health plan's benefits and promptly escalates any exceptions to the UM clinical team. In adherence to UM guidelines and carve-out processes, certain authorizations are approved at a UM Coordinator level by the UM Referral Coordinator. This role also encompasses the critical task of validating eligibility, benefits, and contract status for requested providers. On a regular basis, the UM Referral Coordinator interacts with various stakeholders, including UM staff, Medical Directors, other healthcare providers, health plans, and relevant personnel both within and outside the organization. The UM Referral Coordinator diligently and accurately processes medical authorizations, strictly adhering to company and departmental policies and procedures. This includes meticulous verification of all submitted information for accuracy. Furthermore, this position assumes the responsibility of independently managing assigned tasks and activities, following established policies and procedures with precision and expertise.

Requirements:

Job Duties and Responsibilities:

Accurately processes medical authorizations according to company/department policies and procedures.
General knowledge of CPT and ICD9/ICD10 and HCPCS codes as it relates to the processing of medical billing and/or authorizations.
Familiar with medical terminology as it relates to IPA's, PPO's and HMO's
Ability to interpret and communicate complex contract or benefit language.

• Strong problem-solving abilities. Ability to identify issues and problems within administrative processes and other relevant areas. • Composes basic letters, faxes, & emails which are sent to various providers as it relates to authorizations.

Works collaboratively with internal departments to obtain information or documentation required to accurately process authorizations.
Verifies all information in EZCAP is correct and makes changes/ updates as necessary.
Answers all authorization inquiries in a professional and positive manner ensuring that all information given is accurate.
Conducts calls to providers, facilities, vendors for additional information on authorization requests, as needed.
Place calls to members and providers regarding authorization outcome within the necessary notification timeframe.
Monitors emails and/or faxes daily and appropriately distributes incoming faxed requests.
Monitors the determination and notification Turn-Around Timeframes (TAT) and managing daily workload according to TAT requirements.
Troubleshoot calls from members, providers, health plans, hospitals, and other business affiliates to facilitate a seamless UM service.
Handles UM Department's mailing distribution and assisting in mail room, which may require scanning and inputting data in accordance with department practice.
Implements patient discharge plans delegated by Inpatient UM Nurse by coordinating with home care agencies, post-acute care facilities, durable medical equipment companies, transportation agencies and others as indicated.
Attentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments.
Excellent communication skills; able to read, write, and speak articulately, using established channels of communication and reporting relationships within the organization.
Ability to communicate effectively with all levels of internal/external staff, management, members, physicians/physician office staff.
Knowledge of generally accepted professional office procedures and processes. Universal Healthcare MSO, LLC
Ability to use the following general office equipment correctly and safely: desktop computer for data entry and typing, copy machine, scanner, facsimile machine, and telephone equipment.
Ability to create professional documents using proper grammar and punctuation.
Ability to handle various situations in a professional manner, always demonstrating excellent customer service and ability to adapt to change.
Coordinates continuity of care with external healthcare organizations and facilities, including obtaining authorizations for services as directed by the clinical staff.
Assist with creating and faxing authorizations for DME, HH, IV antibiotics, facility transfers, and other health care needs.
Participates in Patient-Centered quality improvement initiatives.
Assist in mailing, sending, and gathering CMS notices from home health agencies and skilled nursing facilities.
Process Denial Letters while adhering to health plan requirements, CMS, and DHCS.
Updating and maintaining the most current required Health Plan templates
Perform all other duties as assigned

Qualifications:

Three (3) or more years working in a health care or other related business environment working in authorizations, medical assisting and/or medical billing services preferred.
General knowledge of EZCAP preferred.
General knowledge of Microsoft Office applications; Excel, Word; proficient in the use of Outlook.
High school diploma or equivalent required.
Completion of vocational school program in medical assisting, medical front office, or medical billing and coding preferred.
Ability to create professional documents using proper grammar and punctuation.
Ability to handle various situations in a professional manner, always demonstrating excellent customer service and ability to adapt to change.
Ability to continually re-prioritize to meet the needs of internal and external customers throughout the workday.
Willingness to work as part of a team, working collaboratively with others to achieve goals, solve problems, and meet established organizational objectives.
Ability to be reliable in attendance and timeliness to work schedules.
Ability to adhere to dress code, good grooming, and personal hygiene habits.
Ability to maintain knowledge of and conform to company policies and procedures. Ability to always maintain strict confidentiality.

Apply Now

Refine Your Search

referral coordinator jobs in bakersfield ca

UM Referral Coordinator I - Bakersfield 1.1

Bilingual Psychiatric Nurse Practitioner, California, Remote

Utilization Management Coordinator - Managed Care

Speech Language Pathologist (SLP) | Relocation $10,000 | Ventura County

Pediatric Occupational Therapist (OTR/L) | Relocation $10,000 | Ventura County

Patient Coordinator

Medical Referral Clerk

Healthcare Coordinator

Enhanced Care Management Care Coordinator

Bilingual Receptionist/Referral Coordinator

Transplant Coordinator 1

Patient Care Coordinator Ophthalmology and Elective Vision Services

LVN Care Coordinator

RN Case Management

LVN Care Coordinator (Home Health)

LVN Care Coordinator

Came to Believe Recovery and Ministries Coordinator -Bakersfield ARC

SENIOR PSYCHOLOGIST, CORRECTIONAL FACILITY (SPECIALIST)

Physician (Primary Care)

Speech and Language Specialist/Therapist

I want to receive the latest job alert for referral coordinator in bakersfield ca

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