Referral Specialist
Job Title: Referral Specialist
Assignment Type: Temporary (Approximately 3–4 months)
Location: San Ysidro, CA 92173
Schedule: Monday - Friday, 8:00 AM – 5:00 PM
Local Travel: Required as needed for staffing coverage and training
Pay Range: $25.03 – $31.64/hr
Bill Rate: $44.94/hr
Job Summary:
The Referral Specialist supports the coordination and processing of medical referrals and authorizations under the Referrals Supervisor. Responsibilities include scheduling appointments, securing insurance approvals, and ensuring follow-up with specialty providers. Candidates must have healthcare office experience, be bilingual in English and Spanish, and work well independently and in a team setting.
Key Responsibilities:
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Process and document all referrals and treatment authorization requests accurately and on time
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Obtain required insurance authorizations via phone, email, or fax
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Schedule specialty appointments, diagnostic tests, and DME services per provider instructions
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Follow up with patients and specialists to confirm appointments and collect visit documentation
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Communicate clearly with patients regarding referral status and scheduling needs
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Maintain accurate records in the electronic medical record system (EPIC preferred)
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Support compliance with health plan guidelines and eligibility requirements
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Assist with staffing needs at alternate locations as required
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High School Diploma or GED required (or 3+ years of relevant experience in lieu of education)
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Minimum of 6 months experience in a healthcare setting, including front/back office or referral processing
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At least 2 years of customer service experience
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Bilingual (Spanish/English) required
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Valid California driver’s license and insured vehicle required
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Medical Assistant or Coding/Data Processing Certificate preferred
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Typing speed of at least 35 WPM
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Familiarity with medical terminology and insurance plans
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Experience with Microsoft Office and electronic health records systems (EPIC preferred)