Top 20 Referral coordinator Jobs in Templeton, Ca

Referral Coordinator (Templeton, CA)
COASTAL COMMUNITIES PHYSICIAN NETWORK, INC —Templeton, CA
- $24.27 - $28.55 an hour
- Medical office experience
- HIPAA
- Mid-level
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
Home Health Clinical Manager (RN)
Mission Healthcare —San Luis Obispo, CA
- $110,000 - $116,000 a year
- Monday to Friday
- CPR Certification
- Nursing
- BLS Certification
- 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
Behavioral Health Specialist
Community Action Partnership of San Luis Obispo —San Luis Obispo, CA
- $20.29 - $25.37 an hour
- Full-time
- Clean driving record
- Mid-level
- High school diploma or GED
Quick Apply
9d
Intake Coordinator
Maxim Healthcare —San Luis Obispo, CA
- $25 - $27 an hour
- Full-time
- Microsoft Excel
- Office
- High school diploma or GED
- Profit sharing
- Commuter assistance
Quick Apply
9d
Dental Treatment Coordinator/Patient Care Coordinator
Comprehensive Periodontics & Dental Implants —Paso Robles, CA
- $23 - $33 an hour
- Full-time
- Hybrid work
- Spanish
- Dental office
- English
- Profit sharing
- Health savings account
Quick Apply
6d
Front Desk Coordinator
Platinum Dermatology Partners LLC —San Luis Obispo, CA
- $23 - $25 an hour
- Full-time
- Basic math
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Therapeutic Recreation Specialist / CTRS
Rehab Without Walls Neuro Rehabilitation —Atascadero, CA
- $40 - $55 an hour
- No weekends
- CPR Certification
- BLS Certification
- Mid-level
- Travel reimbursement
- Mileage reimbursement
CTRS / Therapeutic Recreation Specialist
Rehab Without Walls Neuro Rehabilitation —San Luis Obispo, CA
- $40 - $55 an hour
- No weekends
- CPR Certification
- BLS Certification
- Mid-level
- Travel reimbursement
- Mileage reimbursement
Clinical Director
Hope Program, A Licensed Clinical Social Worker Professional Corporation —San Luis Obispo, CA
- $85,000 - $105,000 a year
- Weekends as needed
- LMFT
- Licensed Clinical Social Worker
- HIPAA
- Profit sharing
- Health insurance
Quick Apply
Physical Therapist - Outpatient Neuro | Relocation to Washington State!
PeaceHealth —United States
- $46.27 - $69.41 an hour
- Full-time
- Background check
- Doctoral degree
- Hospital
- Continuing education credits
- 403(b) matching
Quick Apply
Bilingual Inbound Client Engagement Specialist (English/Spanish) (CT 10-7PM)
Positive Development —United States
- $60,000 - $65,000 a year
- Full-time
- Remote
- Spanish
- English
- Mid-level
Quick Apply
Full-Time Remote LTM/EEG Analyst (3+ Yrs Exp & REEGT Req)
Next Gen Neuro —United States
- $26 - $34 an hour
- Multiple hires
- CPR Certification
- Computer literacy
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply

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Referral Coordinator (Templeton, CA)
COASTAL COMMUNITIES PHYSICIAN NETWORK, INC —Templeton, CA
1.7 Ensure referral data entry was accurately inputted into UM systems based on the referral and clinical information submitted.
$24.27 - $28.55 an hour
Quick Apply
Area Health Information Specialist I
Datavant —Templeton, CA
Answering of inbound/outbound calls. May assist with administrative duties such as handling faxes, opening mail, and data entry. Full-time, Mo-Fri 8:00-4:30pm.
$16.90 - $20.63 an hour

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The Buckeye Ranch —Whitehall, OH
You have an active driver’s license and proof of auto insurance. You have experience related to children’s behavioral health, child welfare, developmental…
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Referral Coordinator (Templeton, CA)

COASTAL COMMUNITIES PHYSICIAN NETWORK, INC
Templeton, CA

Quick Apply

Job Details

$24.27 - $28.55 an hour

Qualifications

Medical office experience
High school diploma or GED
Pre-authorization review for utilization management
Medical terminology

Full Job Description

Under the direction of the Clinic Supervisor, this position is responsible to for verifying and interpreting member benefits for the health plans. The Referral Coordinator will interact with other departments, clinic personnel, and outside providers in a professional and friendly manner, to create and maintain a positive relationship with our internal and external customers.

1.1

1.1 To be efficient in use of UM prior authorization systems utilized.

1.2 Verify eligibility and benefit interpretation, via health plan and Medicare (CMS) websites.

1.3 Be a resource for providers in regard to questions regarding network specialists.

1.4 Ability to prepare authorizations and refer to appropriate providers/facilities and durable medical equipment (DME) companies.

1.5 Guide and communicate with physician office, processing staff and other departments as needed to ensure collaboration and open discussion regarding all aspects of the referral process. Including responding to messages within the next business day.

1.6 Review accuracy of pending referrals for ICD-10, CPT, HCPC code and provider selections made by the Authorization Clerk staff.

1.7 Ensure referral data entry was accurately inputted into UM systems based on the referral and clinical information submitted.

1.8 Have a complete understanding of established policy and procedure within Heritage provider network regarding the authorization processes.

1.9 Maintaining assigned duties in an acceptable manner.

1.10 Inform management on a daily basis when problems arise or when work falls behind.

1.11Compile and document good faith attempts in obtaining medical records for each pending referral when there is lack of information.

1.12 Compile clinical based guidelines, criteria and/or benefit information prior to forwarding referral to UM Managers for clinical review.

1.13 Maintain filing in a timely manner.

1.14 Provide Referral Coordinator coverage as needed.

1.15 Process referral published on daily trending reports to maintain compliance with health plans and CMS timeframe regulations.

1.16 Follow and have a complete understanding of the health plan and CMS regulations regarding timelines standards, benefit, and guideline hierarchy.

1.17 Adaptable to regulation and necessary departmental procedure changes that affect UM prior authorization processes.

1.18 Compliance with HIPM regulations and maintain patient confidentiality.

1.19 Cultural and Linguistics training required annually.

1.20 Other duties as assigned.

Requirements:
8.1 High School graduate or GED certification required.

8.2 One-year minimum experience working in a medical office environment (IPA or HMO preferred) with prior authorizations required.

8.3 Knowledge of medical terminology required.

8.4 Knowledge of HCPC, CPT and ICD-10, required.

8.5 Proficient written and oral communication skills.

8.6 Demonstrate proficiency in computer systems utilized.

8.7 Ability to remain organized and able to manage competing priorities.

8.8 Demonstrate good judgement.

8.9 Demonstrate ability to take and follow through with delegated tasks and accountability.

8.10Demonstrate resourcefulness in problem-solving.

The pay range for this position at commencement of employment is expected to be reasonably between $24.27 and $28.55. However, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

Compensation: Between $24.27 and $28.55

Quick Apply

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referral coordinator jobs in templeton, ca

Referral Coordinator (Templeton, CA)

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

Home Health Clinical Manager (RN)

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

Behavioral Health Specialist

Intake Coordinator

Dental Treatment Coordinator/Patient Care Coordinator

Front Desk Coordinator

Therapeutic Recreation Specialist / CTRS

CTRS / Therapeutic Recreation Specialist

Clinical Director

Physical Therapist - Outpatient Neuro | Relocation to Washington State!

Bilingual Inbound Client Engagement Specialist (English/Spanish) (CT 10-7PM)

Full-Time Remote LTM/EEG Analyst (3+ Yrs Exp & REEGT Req)

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