High Desert Medical Group is looking for a full time Referral Coordinator for our Utilization Management department. This individual will help to ensure that all outside referrals have verified eligibility presented to Utilization Review in a timely manner for review, have scheduling arrangements, and are loaded and maintained on a computer.
Summary of Duties:
- Present referral for approval to Utilization Review Committee. Notify Primary Care Provider of any changes or denials.
- Notify patients regarding denial and modifications of services.
- Notify patients of approved referrals and scheduling information.
- Code referrals according to ICD-10 CM/CPT codes.
- Input referral data and print authorization for all approved referrals.
- Assist patients in resolving questions/problems.
- Organize workload and workflow process in the department to ensure referrals are processed timely.
- Assist insurance companies regarding patient referrals.
- Assist primary care physician office on status of referrals.
- Perform other duties as assigned.
The pay range for this position at commencement of employment is expected to be between $23.45-$31.30/hr, non-exempt; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
Preferred Qualifications- High School diploma or equivalent.
- One year experience in a medical office, including coding and claims, and dealing with the public, preferred.
- Knowledge in CPT/ICD-10 coding.
- Proficiency in Microsoft Office.
- Knowledge of medical terminology preferred.
- Excellent written and verbal communication skills.
- Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.
- Ability to responsibly handle matters of a confidential nature.
- Ability to work in a multi-task, high-productive environment.
Skills Required
- High school diploma or equivalent
- One year of medical office experience, including coding, claims, and public interaction
- Knowledge of CPT and ICD-10 coding
- Proficiency in Microsoft Office
- Knowledge of medical terminology
- Excellent written and verbal communication skills
- Ability to handle and prioritize tasks to meet deadlines and productivity goals
- Ability to responsibly handle confidential matters
- Ability to work in a multitasking, high-productivity environment
What We Do
High Desert Medical Group (HDMG) is a multi-specialty medical group based in the Antelope Valley, California. An affiliate of the Heritage Provider Network, HDMG provides high-quality healthcare services, including internal medicine, family practice, pediatrics, and urgent care. Founded in 1981, the group is dedicated to delivering exceptional healthcare experiences and helping its members take charge of their health through a commitment to excellence and respect.
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