Referral Management Coordinator - Full Time

Job Description Sante Health System is ready to add a full-time Referral Coordinator to one of our busy medical sites UroGynecology Specialty Center Recreation Office in the Fresno, CA area. This position is responsible for coordinating and scheduling specialist appointments for our patients, including obtaining any necessary prior authorizations.

High school diploma/GED equivalent required.

Minimum one year work experience, preferably in a medical office setting.

Experience with medical terminology and various insurance products and requirements desirable.

Word processing and computer experience required.

Schedules patient appointments with specialists, or faxes referral information to the specialist's office so that they may schedule the appointment.

• Answers all telephone calls in a timely manner regarding referral follow ups.
• Records all referral information in patient's chart under insurance information.
• Provides general information on insurance policies and procedures.
• Enters information in the computer regarding patient, insurance, specialist, specialty, number of visits and consult letters received.

# PERFORMANCE REQUIREMENTS

Knowledge of business office procedures.

Knowledge of managed care products such as HMOs, PPOs, EPOs and government run medical programs.

Skill in operating a computer and fax machine.

Skill in greeting patients and answering the telephone in a pleasant and helpful manner.

THE DAY-TO-DAY Each day as a Referral Coordinator is a great opportunity to utilize your customer service and organizational skills to ensure that our patients receive the care they need. In addition to talking with our patients over the phone, you also contact their insurance companies to obtain patient benefit information and any required pre-authorizations.

With great attention to detail, you keep all patient and referral records organized and up-to-date. You enjoy the variety in your job and the opportunity to provide excellent customer service. You feel accomplished knowing that you have helped our patients.

Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.

Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.

With over 30 years of service to the community, we deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement .