Officeteam Sacramento , CA 95816
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!
Equivalent of 10+ years experience in field
3-5 years previous insurance experience
Previous experience in working with database systems and telephone call center
Experience in the healthcare field
Employment Type: Temporary