Top 90 Referral coordinator Jobs in El Dorado Hills Ca

Referral Coordinator
Capital Allergy & Respiratory Disease Center —Roseville, CA
- From $21 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
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
9d
Healthcare Coordinator
PDS Health —Folsom, CA
- $20.75 - $29.00 an hour
- Full-time
- Dental office
- Computer literacy
- Local
- Health insurance
- Dental insurance
Physical Therapist
Concentra —Rocklin, CA
- $85,000 - $110,000 a year
- Full-time
- Computer literacy
- Writing skills
- Physical & Rehabilitation Medicine
- Continuing education credits
- Commuter assistance
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
Insurance Coordinator
University of the Pacific —Sacramento, CA
- $22.68 - $30.04 an hour
- Online Application
- Background check
- Microsoft Excel
- Microsoft Outlook
Case Management Program Clinical Coordinator
Sevita —Roseville, CA
- $47,549 a year
- Full-time
- CPR Certification
- Mid-level
- Driver's License
- Paid holidays
- Paid time off
Caregiving Services Supervisor
Rx HealthCare Services —Sacramento, CA
- Weekends as needed
- Management
- Caregiving
- Mid-level
- Health savings account
- Health insurance
Quick Apply
4d
Intake Coordinator
First Call Hospice —Citrus Heights, CA
- $25 - $30 an hour
- Full-time
- LVN
- Mid-level
- Home Health
- Profit sharing
- 401(k)
Quick Apply
New Patient Coordinator
Ivy Fertility-Northern California Fertility Medical Center —Sacramento, CA
- $23 - $25 an hour
- Full-time
- High school diploma or GED
- Bachelor's degree
- Organizational skills
Quick Apply
Unit Secretary / Intake Coordinator
Dialysis Clinic, Inc. —Sacramento, CA
- $24 - $28 an hour
- 8 hour shift
- Word processing
- High school diploma or GED
- Clinic
- Paid training
- Wellness program
Quick Apply
Hearing Ambassador (Patient Care Coordinator)
NationsBenefits, LLC —Citrus Heights, CA
- Full-time
- Computer literacy
- High school diploma or GED
- Communication skills
- Opportunities for advancement
Quick Apply
ENT PSR Lead
UC Davis Health —Sacramento, CA
- $32.18 - $40.01 an hour
- Overtime
- Background check
- Surgery
- Word processing
- Continuing education credits
- Paid holidays
4d
Clinical Assistant
CALIFORNIA MATERNAL FETAL MEDICINE —Sacramento, CA
- $24 - $26 an hour
- Email
- Mid-level
- Organizational skills
- In-person
Quick Apply
3d
Reentry Assessment Coordinator
WESTCARE CALIFORNIA INC —North Highlands, CA
- $28 - $30 an hour
- Full-time
- CPR Certification
- Current TB test
- Writing skills
Quick Apply
12d
Medi-Cal Assessment Coordinator
WESTCARE CALIFORNIA INC —North Highlands, CA
- $26 - $30 an hour
- Full-time
- CPR Certification
- Current TB test
- Writing skills
Quick Apply
12d
Enhanced Care Management Lead Care Coordinator
Pacific Health Group —Placerville, CA
- $60,320 - $66,560 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Driver's License
- Mileage reimbursement
- AD&D insurance
Quick Apply
8d
Patient Care Coordinator
Serene Health —Sacramento, CA
- $25 - $28 an hour
- Full-time
- Background check
- Spanish
- Current TB test
- Mileage reimbursement
- Paid holidays
Quick Apply
Recuperative Care- Case Manager
Whole Person Care Clinic —Sacramento, CA
- $30 an hour
- Weekends as needed
- Spanish
- CPR Certification
- Surgery
Quick Apply

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Referral Coordinator

Capital Allergy & Respiratory Disease Center -
Roseville, CA

Quick Apply

Job Details

Full-time
From $21 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Health insurance authorizations
Health insurance benefit levels
Insurance prior authorization
Insurance verification
Health insurance information
HMO health insurance
High-deductible health plan (HDHP) insurance
Healthcare referral management
EPO health insurance

Full Job Description

Job title Referral Coordinator (COC)

Reports to: Billing Manager

Job purpose

The primary purpose of this position is to contact insurance companies to ensure prior approval requirements are met for continuation of care for each patient visit. Also, this position must assemble information concerning patients' referral/authorization needs and maintain the EMR system with this information.

Essential Duties and Responsibilities

Eligibility Verification

Verify patient insurance eligibility and benefits prior to scheduled appointments.
Ensure all insurance information is accurate, complete, and up to date to reflect active coverage.
Review insurance plans for copays, deductibles, out-of-pocket amounts, referral requirements, and authorization requirements.
Confirm active coverage, Primary Care Provider (PCP) assignments, and health plan information.
Update the Electronic Health Record (EHR) with any changes to insurance plans, member IDs, PCP assignments, or coverage status.
Communicate with patients regarding insurance issues, eligibility concerns, or required documentation.
Perform monthly Medi-Cal eligibility checks on the first business day of each month to verify active coverage, assigned health plans, PCP information, and any changes that may impact referrals, authorizations, or scheduled appointments.
Notify appropriate departments of any insurance or coverage changes that may affect patient care, scheduling, or billing.

COC Referrals, Authorizations & Patient Billing Support

Submit, track, and follow up on Continuity of Care (COC) referrals and authorization requests.
Ensure all referrals and authorizations are obtained prior to patient appointments whenever possible.
Follow up with insurance companies, PCP offices, and patients regarding pending referrals or authorizations.
Review referrals and authorization requests for completeness, accuracy, and compliance with payer requirements.
Answer incoming patient billing calls and assist patients with questions regarding account balances, insurance processing, referrals, authorizations, and Continuity of Care (COC) status.
Review patient accounts to explain insurance benefits, copays, deductibles, coinsurance, and patient responsibility amounts.
Assist patients in understanding billing statements and insurance denials related to referrals, authorizations, or insurance coverage.
Serve as a liaison between patients, insurance companies, PCP offices, and the billing department to resolve issues related to insurance coverage, referrals, authorizations, and billing.
Coordinate with the billing department to resolve patient account issues and ensure timely follow-up.
Document all communications, status updates, patient interactions, and actions accurately within the Electronic Health Record (EHR).
Maintain organized and accurate records of referral, authorization, and patient billing inquiries.
Escalate urgent referral, authorization, or billing issues that may delay patient care or reimbursement.

General Responsibilities

Work collaboratively with, front office staff, billing, and clinical teams to ensure a seamless patient experience.
Maintain patient confidentiality and comply with all HIPAA regulations and company policies.
Provide exceptional customer service to patients, providers, insurance representatives, and referring offices.
Assist with other administrative duties and special projects as assigned.
Identify, communicate, and escalate issues that may delay patient care, referrals, insurance approvals, or reimbursement.
Maintain knowledge of insurance guidelines, referral requirements, Continuity of Care processes, and regulatory changes affecting patient eligibility and authorizations.

This position requires an individual who can independently manage their workload, prioritize tasks effectively, and perform efficiently within established time constraints. The individual must be able to communicate effectively with multiple internal departments and ensure that accurate, timely information regarding referral and authorization approvals is relayed so that the appropriate services can be provided during each patient visit.

Job Type: Full-time

Pay: From $21.00 per hour

Expected hours: 80.0 per week

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Insurance verification: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

referral coordinator jobs in el dorado hills ca

Referral Coordinator

Referral Coordinator

Healthcare Coordinator

Physical Therapist

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

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

Insurance Coordinator

Case Management Program Clinical Coordinator

Caregiving Services Supervisor

Intake Coordinator

New Patient Coordinator

Unit Secretary / Intake Coordinator

Hearing Ambassador (Patient Care Coordinator)

ENT PSR Lead

Clinical Assistant

Reentry Assessment Coordinator

Medi-Cal Assessment Coordinator

Enhanced Care Management Lead Care Coordinator

Patient Care Coordinator

Recuperative Care- Case Manager

I want to receive the latest job alert for referral coordinator in el dorado hills ca

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