Referral Specialist jobs in Fresno, CA

About us

We are professional, agile and professional.

Our work environment includes:

• Modern office setting
• Food provided

Job Summary:
The Medical Market Referral Specialist is a crucial member of our healthcare organization, responsible for developing and executing strategies to generate referrals and expand our network of referring physicians and healthcare providers. Through targeted outreach, relationship-building, and strategic partnerships, the Referral Specialist will drive patient referrals to our medical facility, ultimately improving access to healthcare services for our community.

Duties:

- Review and process referral requests from healthcare providers

- Verify insurance coverage and obtain necessary authorizations for referrals

- Coordinate appointments with specialists and ensure timely scheduling

- Communicate with patients regarding referral status, appointment details, and any necessary follow-up

- Maintain accurate records of all referral activities in the electronic medical record system

- Collaborate with medical coding staff to ensure accurate coding of referral diagnoses

- Assist with insurance verification and pre-authorization processes as needed

- Provide support to the front office staff by answering phone calls, scheduling appointments, and addressing patient inquiries

Qualifications:

- High school diploma or equivalent required; associate's degree preferred

- Previous experience working in a dental or medical office setting is highly desirable

- Strong knowledge of medical coding systems (ICD-9, ICD-10) and managed care processes

- Familiarity with insurance verification procedures and requirements

- Proficient in using electronic medical record systems and other office software applications

- Excellent organizational skills with the ability to prioritize tasks and meet deadlines

- Exceptional attention to detail and accuracy in data entry and record keeping

- Strong communication skills, both verbal and written, with the ability to effectively interact with patients, healthcare providers, and insurance representatives

We offer competitive pay rates and comprehensive benefits packages for eligible employees. This is a full-time position with regular business hours.

If you are a motivated individual who thrives in a fast-paced medical office environment, we encourage you to apply for the Referral Specialist position. Please submit your resume along with a cover letter detailing your relevant experience and qualifications.

Job Types: Full-time, Part-time

Pay: $19.00 - $23.00 per hour

Expected hours: 20 – 40 per week

Benefits:

• Flexible schedule

Weekly day range:

• Monday to Friday

Experience:

• Marketing: 1 year (Preferred)

Ability to Commute:

• Fresno, CA 93711 (Required)

Work Location: Hybrid remote in Fresno, CA 93711