Referrals/Authorization Specialist
Modesto, CA 95356 US
Job Description
Temp to Hire
Location: Modesto, CA
Pay Rate: $17.00 per hour
We are seeking an experienced Referrals Coordinator to join our multi-provider Pediatric practice. As a Referrals Coordinator, you will be responsible for processing physician referrals and ensuring that patients receive the necessary authorizations for their treatments. The ideal candidate will have at least one year of experience in referrals, specifically in a pediatric setting. This position requires excellent telephone skills, good data entry skills, and familiarity with the Greenway EMR software.
Job Duties:
- Process physician referrals for pediatric patients, ensuring accurate and timely completion.
- Verify patient eligibility by contacting insurance companies and obtaining necessary authorizations.
- Submit re-authorizations if required, following insurance guidelines and procedures.
- Communicate with referring physicians, insurance companies, and other healthcare providers to gather necessary information for referrals.
- Minimum of one year of experience working in a referrals department, preferably in a pediatric setting.
- Familiarity with pediatric referrals and insurance authorization processes is required.
- Excellent telephone skills with the ability to communicate effectively and professionally.
- Strong data entry skills and attention to detail to ensure accurate and complete documentation.
Job Requirements
Meet Your Recruiter
Candace Abell
Sr. Staffing Consultant
Born and raised in Fresno, Candace has been a Central Valley girl from the start. She attended Fresno State University and was a member of Kappa Kappa Gamma Sorority. After relocating to Modesto, Candace started her family and her career in health care staffing. Candace knew almost instantly that she had found her calling- finding the right person for the perfect practice! Candace has been a pillar in the AVAILABILITY office since 2007. She leads the healthcare services placement division and brings over 30 years experience in health care placement. When Candace isn’t finding “just what the doctor ordered” she is visiting and enjoying her 5 grandchildren, gardening, wine tasting, walking, listening to music and just being with family and friends.