You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Referral Specialist to manage patient referral processes efficiently. The primary responsibility is to work with the EMR system to schedule testing, procedures, and referrals, ensuring pre-certification and authorization are obtained. The role involves close collaboration with various practices while maintaining strict confidentiality, and provides essential customer service to patients and healthcare providers.

Key Responsibilities

• Manage patient referral and liaise using the EMR system to schedule tests and procedures.
• Obtain pre-certification and prior authorizations for procedures and referrals.
• Ensure informed consents are signed and procedure schedules are confirmed with relevant departments.
• Verify insurance coverage and communicate financial responsibilities to patients.
• Provide customer service by addressing inquiries, complaints, and service recovery opportunities.
• Participate in patient satisfaction initiatives and work collaboratively with team members.
• Maintain necessary supplies, care areas, and assist in training new employees.
• Stay informed about clinical operations, medical knowledge, and participate in continuing education.
• Prepare productivity and referral reports for administration.

Qualifications

• Excellent customer service skills.
• Ability to communicate effectively with patients and management.
• Strong teamwork and collaboration skills.
• Knowledge of CPT and CDI coding.

Additional Requirements

Adherence to all organizational policies and procedures is required.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.