Referrals Specialist II

Benefits

Additional Information

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The Specialist, Referral II, 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 payer issues. Minimum Requirements High school diploma required. Medical Assistant Certificate or Medical Billing Certificate preferred. Minimum of 2 years' experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations on Medi-Cal, CCS, and other government programs required. Prior Utilization Management Experience is also required. Prior Lead position experience and Bilingual English/Spanish preferred.

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at altamed? Share your experience