Referrals Specialist II

Work Boldly. Live Brilliantly.
At AltaMed, we don’t just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It’s the calling of our lives and it compels us to keep moving forward.

Job Overview

This position is responsible for providing support to the Medical Management and inter-departmental staff and assisting providers and members/patients with the referral process and status questions and as a resource for patients, providers, staff and external customers regarding authorizations and third-party reimbursement policies as well as facilitating processing of most complex issues with patients and third-party payor issues.

Minimum Requirements

1. High school diploma required. Medical Assistant Certificate or Medical Billing Certificate preferred.

2. Minimum two years experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required.

3. Prior Utilization Management Experience also required.

4. Prior Lead position experience and Bilingual English/Spanish preferred.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days 
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Salary Range

$24.00 - $24.00 hourly