Managed Care Referral Specialist

Impact Lives, Impact Community

• Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements.
• Meets daily referral modification productivity standards for Referral Specialists, adhering to referral processes and guidelines.
• Per referral guidelines, provide appropriate clinical information to specialist.
• Performs other duties as assigned.
• Prepares and processes all referral and pre-authorization paperwork, including gathering pertinent information as needed via EHR, from incoming phone/email/fax messages, or from the clinical team. Contacts various clinics, facilities, and companies to obtain information to accurately complete referral/pre-authorization requests.

• At least 1 year of experience in ambulatory care setting or similar setting is strongly preferred.
• High school diploma or GED equivalent required.
• Medical Terminology Course required, or able to complete within 90 days of hire.
• Bilingual English/Spanish is required.
• Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency.
  
  Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.

• Job type:
  Regular Full-time, M-F 8am-5pm.
• Onsite: 5160 Federal Boulevard San Diego, CA 92105
• Competitive Salary with Excellent Benefits
• Retirement Plan with Employer Match
• Paid Time Off, Extended Sick Leave and Paid Holidays
• Medical/Dental/Vision/FSA/Life Insurance
• Employee Discounts and Wellness Programs

The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved.

In the spirit of pay transparency, we are excited to share the base range for this position, exclusive of fringe benefits.

Salary range: $23.00 - $27.46

If you are hired at Family Health Centers of San Diego, your final base salary compensation will be determined based on factors such as geographic location, jurisdictional requirements, skills, education, and/or experience. In addition to these factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer.

Please keep in mind that the range mentioned above is what we reasonably expect to pay for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth. We also offer a generous compensation and benefits package (more information on our benefits offerings is available here: FHCSD Wellness – Employee Hub ())