Top 8 Prior authorization specialist Jobs in Watsonville, Ca

Referral Coordinator: Temporary Position
Cypress Healthcare Partners —Salinas, CA
- $23 - $26 an hour
- Temporary
- Bilingual
- Office
- High school diploma or GED
Quick Apply
2d
Referral Coordinator: SVH Hematology & Oncology
Cypress Healthcare Partners —Salinas, CA
- $23 - $26 an hour
- Full-time
- Bilingual
- Mid-level
- Office
Quick Apply
Trauma Registrar
Natividad Medical Center —Salinas, CA
- $7,474.48 - $10,208.47 a month
- Weekends as needed
- Anatomy knowledge
- Hospital
- Customer service
HIM Specialist
Montage Medical Group —Monterey, CA
- $25.15 - $28.01 an hour
- Full-time
- Bilingual
- Microsoft Word
- Computer literacy
Quick Apply
14d
MANAGEMENT ANALYST III
County of Monterey, CA —Salinas, CA
- $8,831 - $12,061 a month
- Weekends as needed
- Background check
- Spanish
- English
8d
Medical Receptionist
Avita MD —Los Gatos, CA
- $25.50 - $27.00 an hour
- Full-time
- Bilingual
- Computer literacy
- Medical office experience
- Health insurance
- Dental insurance
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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
1d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

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Referral Coordinator: Temporary Position

Cypress Healthcare Partners -
Salinas, CA

Quick Apply

Job Details

Temporary
$23 - $26 an hour
2 days ago

Qualifications

Customer communication
Medical terminology

Full Job Description

SUMMARY

The person in the position of the Referral Coordinator must be able to perform the duties described within as well as to meet the company’s qualifications. The referral coordinator must have exceptional communication skills to communicate effectively with clinic managers and referring providers. Individuals must be organized, and be able to manage a demanding workload with accuracy.

ESSENTIAL DUTIES AND RESPONSIBILITIES

specific to the authorization department include the following:

Responsible for the completion of all incoming/outgoing referrals as assigned.
Maintain ongoing tracking and appropriate documentation on the status of referrals. Referrals should be addressed in timely manner, by reviewing and reconciling overdue and/or pending orders in the work queue.
Referrals should be addressed in timely manner, by reviewing and reconciling overdue and/or pending orders in the work queue. Escalate routine referral delays more than 14 business days.
Assemble information concerning patient’s clinical background and referral needs.
Knowledge and understanding of ICD-10 and CPT Codes
Contact insurance companies to ensure all prior authorization needs are met. Present necessary medical information such as history, diagnosis and prognosis.
Be the system navigator and point of contact for patients with outstanding referrals, assuring patient is aware of referral by reviewing details and expectations.
Contact external offices to ensure referral is received, to obtain patient appointment date, including all relating information.
Ensure the patient’s chart is up to date with demographics, insurance information, and information on specialist consults; scanning appropriate follow-up documents into system.
Scans all patient visit documentation into EHR
Covers various front office positions as needed
Other duties as assigned

QUALIFICATIONS

For the employee to execute this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

The employee performing this position is expected to hold a High school diploma or general education degree (“GED”); and at least three months (preferably six months) related experience (e.g., health care setting, customer service, etc.) and/or training; or equivalent combination of education and experience. The employee performing this position is expected to have some experience with medical terminology and understanding of medical insurance process. S/he must be able to understand or quickly learn about the differences between and among patients with private insurance, Medicare, Workers’ Compensation and self-paying patients, etc.

PREFERRED

Bilingual may be required during certain shifts.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

CONDITION OF EMPLOYMENT:

Proof of identity and legal authority to work in the U.S. is a condition of employment. Cypress Healthcare Partners/Salinas Valley Health Clinics will not sponsor applicants for work visas.

Quick Apply

Refine Your Search

prior authorization specialist jobs in watsonville, ca

Referral Coordinator: Temporary Position

Referral Coordinator: SVH Hematology & Oncology

Trauma Registrar

HIM Specialist

MANAGEMENT ANALYST III

Medical Receptionist

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