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Regional Referral Coordinator

Expired Job

Officeteam Sacramento , CA 95816

Posted 3 months ago

Robert Half Healthcare is looking for a Regional Referral Coordinator! We are looking for an experienced referral coordinator to handle about 300 referrals per month in a fast paced environment. The Regional Referral Coordinator provides excellent customer service in the management of referrals for patients requiring specialty services from contracted medical groups, hospital systems, and third-party payors throughout Northern California, Western Nevada, and beyond.

Responsibilities:
  • Reviews confidential clinical information and determines if requested/required services are available within the network

  • Analyze complex procedures, payor rules regulations, specialists capacity, professional interests and contractual relationships to facilitate patient referrals to the appropriate department

  • Works in concert with the Business Development Specialists and Data Coordinator to develop and maintain strong referrals patterns in an ever changing competitive healthcare market

  • Creates smooth and efficient referral workflows for external sources, using evolving technology available tools

  • Input all referral requests into referral tracking database accurately; update status in database, as appropriate; complete all referral and/or transfer documentation; provides follow-up tracking, as requested; and assists with audits of referrals.

  • Maintain knowledge of current fee schedules and contracting arrangements between referral sources and Specialty Network providers. If you are interested in this position, please email your resume to Kate at We look forward to hearing from you!

Requirements

Qualifications:
  • Equivalent of 10+ years experience in field

  • Required

  • 3-5 years previous insurance experience

  • Required

  • Previous experience in working with database systems and telephone call center

  • Required

  • Experience in the healthcare field

  • Preferred

Employment Type: Temporary


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Regional Referral Coordinator

Expired Job

Officeteam