Medical Referral Coordinator
| Verified Pay check_circle | Provided by the employer$20 - $24 per hour |
|---|---|
| Hours | Full-time |
| Location | San Jacinto, California |
Compare Pay
Verified Pay check_circleProvided by the employer This job pays $2.35 per hour more than the average pay for similar jobs in your area.
$15
$22.00
$29.6
About this job
Job Description
Job Description
Qualifications
Gupta Medical Center / Ramona Specialists
Location: San Jacinto, CA
Position: Full-Time Medical Referral Coordinator
Schedule: Monday–Friday
Who We’re Looking For
An experienced referral coordinator who can step in and run our referral queue from day one. The three things we need most:
Location: San Jacinto, CA
Position: Full-Time Medical Referral Coordinator
Schedule: Monday–Friday
Who We’re Looking For
An experienced referral coordinator who can step in and run our referral queue from day one. The three things we need most:
- Managed care authorization experience — IEHP, Medi-Cal managed care, Medicare Advantage, and commercial plans
- eClinicalWorks (eCW) experience — able to work in our EMR without heavy training
- Ability to independently manage referrals through completion — initiation → authorization → appointment → consult report → closure, without being chased
If those three describe you, we want to talk.
Job Responsibilities
Job Responsibilities
- Process referrals to specialists, diagnostic facilities, and other healthcare providers promptly
- Obtain and track insurance authorizations, including IEHP, Medi-Cal managed care, Medicare Advantage, and commercial insurance plans
- Contact patients regarding referral status, authorizations, scheduling, and follow-up instructions
- Perform and document 72-hour referral follow-up and subsequent follow-ups according to office policy
- Track referrals from initiation through specialist appointment, consultation report receipt, and appropriate closure
- Maintain accurate and timely referral documentation in the electronic medical record
- Follow up with insurance companies, specialists, and diagnostic facilities regarding pending referrals
- Identify missing information and communicate promptly with providers and clinical staff
- Monitor pending, delayed, denied, and incomplete referrals and escalate unresolved issues
- Maintain referral tracking reports and assist with quality assurance and health plan audits
- Coordinate effectively with front-office, back-office, and clinical staff
Additional Responsibilities
- Willingness to assist with incoming telephone calls, patient inquiries, and appointment scheduling as needed
- Flexibility to assist with front-office duties, administrative tasks, and other office workflows as assigned
- Ability to multitask and adjust priorities according to patient care and office needs
Qualifications
- Managed care authorization experience strongly preferred — IEHP, Medi-Cal, Medicare Advantage, and commercial plans
- eClinicalWorks (eCW) experience strongly preferred
- Demonstrated ability to independently manage referrals from initiation through closure
- Previous experience in medical referrals and insurance authorizations
- Understanding of medical terminology, ICD-10 codes, and referral workflows
- Strong organizational, communication, and time-management skills
- Ability to manage multiple referrals and meet established deadlines
- Detail-oriented with accurate documentation skills
- Ability to work independently and cooperatively with providers and staff
- Familiarity with HIPAA and patient confidentiality requirements
Professional Expectations
- Maintain professional, courteous, and respectful communication with physicians, providers, management, coworkers, and patients
- Follow established office policies, procedures, and management instructions
- Demonstrate a cooperative, team-oriented attitude and willingness to assist other departments when needed
- Communicate concerns constructively and seek clarification when necessary
- Accept feedback professionally and demonstrate willingness to learn and adapt to workflow improvements
- Maintain a positive, dependable, and patient-focused approach in a busy medical office
Benefits
- Competitive compensation based on experience ($20–$24/hour)
- Full-time position, Monday–Friday
- Benefits according to company policy
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Full-time Jobs Part-time Jobs Gig Jobs Posting ID: 1304626792 Posted: 2026-10-19 Job Title: Medical Referral Coordinator
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