*Referral Coordinator at Community Memorial Healthcare

San Buenaventura (Ventura), California, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Jun, 26

Salary

27.66

Posted On

31 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Referrals, Pre-authorizations, Appointment Scheduling, Insurance Verification, Office Support, Authorization Tracking, Document Handling, Referral Monitoring, Microsoft Office, Electronic Medical Record Software, Medical Terminology, HMO Knowledge, PPO Knowledge, Bilingual (English/Spanish)

Industry

Hospitals and Health Care

Description

Compensation Salary Range: $21.00 - $27.66 / hour The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions. Responsibilities Position Overview: The Referral Coordinator is responsible for patient referrals, pre-authorizations, scheduling patient appointments, verifying insurance coverage, and providing general office support duties. This position provides and tracks authorizations and referrals, ensures documents are accurately handled in a timeline manner, and performs daily monitoring of all initial referrals and follow-up tasks. Qualifications Required: High School Diploma or equivalent (GED) Previous experience operating personal computers and using windows-based programs, including Microsoft Office Preferred: Six (6) months experience working with various insurance referral and documentation needs One (1) year directly related experience or training Knowledge of basic medical coverage plans including HMO, PPO, State programs and other types of coverage Knowledge of Medical Terminology Bilingual in English and Spanish Experience using Electronic Medical Record software Overview When it comes to quality, we're 5 Star! Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve. Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction! Community Memorial Healthcare Benefits To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way. Competitive Pay Shift Differentials In-House Registry Rates Fidelity 403(b) Retirement Plan Paid Time Off Medical (EPO/PPO), Dental, & Vision Insurance Coverage Voluntary Worksite Benefits Employee Assistance Program Available 24/7 (EAP) Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Recognition programs Employee service recognition events Home, Retail, Travel & Entertainment Discounts National Hospital Week and National Nurses Week celebrations Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community. “We are an AA/EEO/Veterans/Disabled Employer”

Responsibilities

The Referral Coordinator manages patient referrals, handles pre-authorizations, schedules appointments, and verifies insurance coverage. This role also involves tracking authorizations, ensuring accurate document handling in a timely manner, and monitoring initial referrals and follow-up tasks.