Top 20 Referral specialist Jobs in Pleasanton, Ca

Referral Coordinator II
University HealthCare Alliance —Dublin, CA
- $27.07 - $34.52 an hour
- Full-time
- Computer literacy
- Medical office experience
- Basic math
8d
Utilization Review Liaison
Washington Hospital —Fremont, CA
- $32.35 - $43.63 an hour
- 8 hour shift
- Mid-level
- Office
Quick Apply
5d
Resource and Referral Counselor
BANANAS, Inc. —Oakland, CA
- $29.38 - $30.60 an hour
- Full-time
- Microsoft Word
- Google Workspace
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
OTR Truck Driver Commercial Drivers License Needed (Offering a Referral Fee)
Option One Transportation LLC —California
- $1,200 - $1,400 a week
- Part-time
- Dedicated
- CDL A
- Mid-level
Quick Apply
Case Management Liaison Lead
Stanford Health Care Tri-Valley —Pleasanton, CA
- $31.94 - $41.20 an hour
- Full-time
- Hospital
- Computer literacy
- BLS Certification
Central Referrals Coordinator
LIFELONG MEDICAL CARE —Oakland, CA
- $22 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Referral Agents
Perl Merchant Services —Walnut Creek, CA
- Email
- Remote
- Entry level
- Under 1 year
- Work from home
Eligibility Coordinator (Healthcare)
Davis Street Community Center —San Leandro, CA
- $26 - $27 an hour
- Full-time
- Spanish
- HIPAA
- Research
- 403(b) matching
- Paid holidays
Quick Apply
Intake Representative (Specialty)
KabaFusion —Pleasanton, CA
- $22 - $30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Commercial
- Paid holidays
- Disability insurance
Quick Apply
Utilization Management Coordinator - Casual
Altais Health Solutions —Oakland, CA
- $25 - $30 an hour
- Full-time
- Background check
- Medical office experience
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $38.04 - $51.35 an hour
- 8 hour shift
- Clinic experience
- Mid-level
- 3 years
Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $38.04 - $51.35 an hour
- 8 hour shift
- Mid-level
- Outpatient experience
- 3 years
Workers Comp/Surgery Scheduler/Referral Coordinator
MARK H CHAN, MD —Oakland, CA
- $22 - $25 an hour
- Full-time
- Surgery
- US work authorization
- In-person
- Free parking
Quick Apply
Intake & Referral Specialist (Bilingual - Spanish)
Hively —Oakland, CA
- $26.88 - $28.90 an hour
- Weekends as needed
- Spanish
- Bachelor of Science
- Writing skills
- Paid holidays
- Disability insurance
Quick Apply
Pharmacy Technician (Temporary)
Central California Alliance for Health —San Jose, CA
- $30.00 - $35.25 an hour
- Temporary
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Medical Referrals Clerk/Case Manager
Gardner Health Services —San Jose, CA
- $22.72 - $28.78 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- Profit sharing
- Paid holidays
Quick Apply
2d
Patient & Referral Marketing Coordinator
Sunnyvale Endodontics —Sunnyvale, CA
- From $32 an hour
- 8 hour shift
- Spanish
- Dental office
- Mid-level
- 401(k)
- Paid time off
Quick Apply
1d

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Case Management Liaison Lead
Stanford Health Care Tri-Valley —Pleasanton, CA
Forwards all requests that require additional clinical review to determine medical necessity criteria to the pre-authorization nurse for determination.
$31.94 - $41.20 an hour
Rehabilitation Services Authorization Coordinator
Boomerang Healthcare —Modesto, CA
Returns phone calls to customers and follows up with requests. Anticipate our customer needs: Understand the wants and needs of customers, listen for cues and…
$23 - $28 an hour
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14d

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Referral Coordinator
MSA Primary Care —Newark, OH
Monitor incoming emails and voicemails to the referral department. Access patient charts, creating referral orders and pulling clinical information to send.
Quick Apply
12d
Referral Specialist
PrimaryOne Health —Columbus, OH
Utilizes internal software and telephone system to enter or retrieve data related to the referral/scheduling of appointments.

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referral specialist jobs near pleasanton, ca

Referral Coordinator II

University HealthCare Alliance -
Dublin, CA

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Job Details

Full-time
$27.07 - $34.52 an hour
8 days ago

Qualifications

Revenue cycle management
Computer operation
Overseeing health insurance pre-certification
Phone communication
Balancing cash drawers
Medical office experience
Basic math
Practice management software
High school diploma or GED
Healthcare referral management
Clinical data entry
Telephone systems
Health insurance referral requirements
Typing
Quality data entry
Client interaction via phone calls
Customer data entry

Full Job Description

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Medicine Partners job.

A Brief Overview
Under general supervision, operates as part of the care team performing a variety of functions such as obtaining referral/authorizations required for future appointments. Patient registration, insurance coverage and eligibility verification, scheduling and telephone management.

Distinguished Characteristics:

RIT PSR II is responsible for supporting all elements of referral and authorization to include validating patient's health plan eligibility and obtaining authorization for all services and procedures in office and external facilities. Contacting patients and scheduling into the Epic system by following SOP's provided by the Clinic.
Contacting clinical staff to coordinate peer to peer calls between Physicians and the health plan as needed.

Locations
Stanford Medicine Partners

What you will do

C-I-CARE (1, 2):
Executes world class practices of service and patient care in support of C-I-CARE standards.
Uses C-I-CARE templates and the following components for all communication with patients and staff:
CONNECT with people by calling them their proper name, or the name they prefer (Mr., Ms., Dr.)
INTRODUCE yourself and your role
COMMUNICATE what you are going to do, how long it will take, and how it will impact the patient
ASK permission before entering a room, examining a patient or undertaking an activity
RESPOND to patient’s questions or requests promptly; anticipate patient needs
EXIT courteously with an explanation of what will come next
Patient Registration (1,2):
Registers new patients and updates existing patient accounts in a courteous and professional manner in accordance with performance standards.
Identifies accepted insurance plans and those requiring referrals.
Handles any system red flags as they are encountered.
Communication and Scheduling Procedures (1,2):
Performs off-site scheduling of new or follow-up appointments in a courteous and professional manner in accordance with performance standards.
Coordinates and Communicates with Clinics
Electronic Health Record Documentation (1,2):
Accesses EHR to communicate to clinical staff members and/or physicians through telephone encounters using SBAR format and/or appropriate smart phrases in accordance with performance standards.
Manages EHR in-basket(s), referral work queues in accordance with performance standards.
Referral & Authorization Coordination (1,2):
Ensure patient registration is complete including demographic, insurance card and pharmacy benefits is obtained and scanned into the patient’s chart in EPIC.
Confirm eligibility and re-verify when required.
Contact health plan for benefit information.
Review EPIC work queue for all request for office based services and procedures.
Defer for x amount days depending on services.
Work accounts that previously deferred for follow up as needed.
Schedule new consultation once authorization has been received and remind patients of scheduled appointments.
Collaborate with Revenue Cycle on authorization claim denials. Research and provide information to Insurance Follow Up Manager for claim appeals.
All other duties as assigned including department-specific functions and responsibilities (1, 2):
Performs other duties as assigned and participates in organization projects as assigned.
Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies.

Education Qualifications

High School Diploma or GED Required

Experience Qualifications

1+ year to 2 years as a Patient Services Representative, referral pre-authorization experience and knowledge of revenue cycle functions in a physician office setting. Required

Required Knowledge, Skills and Abilities

Ability to type a minimum of 30 wpm
Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication.
Legible handwriting.
Ability to maintain composure during challenging interpersonal interactions.
Basic math skills necessary to collect payments and balance cash drawer.
Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR.
Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow.

Preferred Knowledge, Skills and Abilities

Experience in healthcare or related setting.

Physical Demands and Work Conditions

Physical Demands

Constant Sitting.
Frequent Walking.
Occasional Standing.
Occasional Bending.
Occasional Squatting.
Occasional Climbing.
Occasional Kneeling.
Seldom Crawling.
Constant Hand Use.
Constant Repetitive Motion Hand Use.
Frequent Grasping.
Occasional Fine Manipulation.
Frequent Pushing and Pulling.
Occasional Reaching (above shoulder level).
Frequent Twisting and Turning (Neck and Waist).
Constant Vision (Color, Peripheral, Distance, Focus).

Lifting

Frequent lifting of 0 - 10 lbs.
Occasional lifting of 11 - 20 lbs.
Seldom lifting of 21 - 30 lbs.
Seldom lifting of 31 - 40 lbs.
Seldom lifting of 40+ lbs.

Carrying

Frequent lifting of 0 - 10 lbs.
Occasional lifting of 11 - 20 lbs.
Seldom lifting of 21 - 30 lbs.
Seldom lifting of 31 - 40 lbs.
Seldom lifting of 40+ lbs.

Working Environment

Occasional Driving cars, trucks, forklifts and other equipment.
Constant Working around equipment and machinery.
Seldom Walking on uneven ground.
Seldom Exposure to excessive noise.
Seldom Exposure to extremes in temperature, humidity or wetness.
Seldom Exposure to dust, gas, fumes or chemicals.
Seldom Working at heights.
Seldom Operation of foot controls or repetitive foot movement.
Seldom Use of special visual or auditory protective equipment.
Seldom Use of respirator.
Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc..

Blood Borne Pathogens

Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment

Travel Requirements

10% travel:

These principles apply to ALL employees:
Commitment to Providing an Exceptional Patient & Family Experience

University HealthCare Alliance dba Stanford Medicine Partners sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $27.07 - $34.52 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

referral specialist jobs in pleasanton, ca

Referral Coordinator II

Utilization Review Liaison

Resource and Referral Counselor

OTR Truck Driver Commercial Drivers License Needed (Offering a Referral Fee)

Case Management Liaison Lead

Central Referrals Coordinator

Referral Agents

Eligibility Coordinator (Healthcare)

Intake Representative (Specialty)

Utilization Management Coordinator - Casual

Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time - 8 Hour - Days

Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time - 8 Hour - Days

Workers Comp/Surgery Scheduler/Referral Coordinator

Intake & Referral Specialist (Bilingual - Spanish)

Pharmacy Technician (Temporary)

Medical Referrals Clerk/Case Manager

Patient & Referral Marketing Coordinator

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