Teams at High Desert Medical Group

Processes and coordinates outside medical referrals within Utilization Management. Verifies eligibility, submits referrals for review, communicates approvals or denials to patients and providers, schedules services, codes referrals using ICD-10-CM and CPT, enters authorization data, assists with referral issues, and coordinates with insurance companies and primary care offices to ensure timely processing.

Coordinate HCC outreach by placing high-volume calls to schedule senior wellness exams, manage scheduling systems, perform clerical duties, maintain risk-adjustment records, handle non-clinical patient inquiries, and support departmental meetings and audits. Ensure timely appointment confirmations, chart creation, and accurate filing while demonstrating professionalism and customer service.

Prepare and enter monthly journal entries, assist month/quarter/year-end close, payroll processing, bank reconciliations, revenue entries, 1099s, and financial reports for CFO. Support budgets, capitation functions, special projects, and accounting system use.