Referrals Specialist - Healthcare
- $25 - $34
- Riverside, CA
Join a compassionate team dedicated to supporting frail and elderly participants in a PACE program as a Referrals Specialist, where you'll coordinate critical care referrals with competitive hourly pay
A bit about us:
A dynamic leader in comprehensive elder care focused on innovation, collaboration, and delivering high-quality, coordinated services to improve participant health outcomes.
Why join us?
Competitive compensation $47,000–$67,000+ depending on experience
Comprehensive benefits including medical, dental, vision, retirement plan, generous PTO, holidays, and more
Meaningful work supporting vulnerable elderly populations in a mission-driven PACE program
Collaborative team environment with opportunities for professional growth in healthcare coordination
Stable full-time role with strong emphasis on work-life balance and participant advocacy
Comprehensive benefits including medical, dental, vision, retirement plan, generous PTO, holidays, and more
Meaningful work supporting vulnerable elderly populations in a mission-driven PACE program
Collaborative team environment with opportunities for professional growth in healthcare coordination
Stable full-time role with strong emphasis on work-life balance and participant advocacy
Job Details
Job Details / Responsibilities:
Serve as the main point of contact for providers and clinic staff regarding referrals, authorizations, and appointment scheduling
Prepare, process, and complete referrals accurately and timely, including urgent/stat referrals, in-house and external services
Arrange transportation and escort coordination for participants to medical appointments
Communicate referral details, appointment instructions, and updates to participants and families
Track referrals in logs and EMR, follow up on authorizations, and maintain status updates
Monitor authorization requests, escalate issues, and ensure referral loops are closed
Complete surgery scheduling with CPT codes, manage pre/post orders including labs, EKG, and imaging
Manage re-authorizations across payors to prevent lapses in care
Review consultation reports, coordinate follow-ups, and retrieve necessary documentation (e.g., CD images)
Reschedule missed appointments per no-show policies and document all actions in EMR per regulations
Screen and respond to referral inquiries via phone, text, portal, or mail
Act as liaison between participants, clinic/providers, specialists, hospitals, and community resources
Obtain referrals/authorizations from providers and share pertinent information with specialty providers
Participate in department meetings and contribute to overall participant health outcomes
Qualifications:
High school diploma or GED required
One year of clinical or healthcare experience required
Experience with referral authorization and data processing preferred
One year experience working with frail and elderly populations preferred
Bilingual (English/Spanish) required
Ability to lift/carry up to 10 lbs and stand for long periods
Knowledge of CPT, ICD-10, and medical terminology
Excellent communication, organizational, and multitasking skills
Ability to handle confidential information ethically and work independently or as part of a team
Serve as the main point of contact for providers and clinic staff regarding referrals, authorizations, and appointment scheduling
Prepare, process, and complete referrals accurately and timely, including urgent/stat referrals, in-house and external services
Arrange transportation and escort coordination for participants to medical appointments
Communicate referral details, appointment instructions, and updates to participants and families
Track referrals in logs and EMR, follow up on authorizations, and maintain status updates
Monitor authorization requests, escalate issues, and ensure referral loops are closed
Complete surgery scheduling with CPT codes, manage pre/post orders including labs, EKG, and imaging
Manage re-authorizations across payors to prevent lapses in care
Review consultation reports, coordinate follow-ups, and retrieve necessary documentation (e.g., CD images)
Reschedule missed appointments per no-show policies and document all actions in EMR per regulations
Screen and respond to referral inquiries via phone, text, portal, or mail
Act as liaison between participants, clinic/providers, specialists, hospitals, and community resources
Obtain referrals/authorizations from providers and share pertinent information with specialty providers
Participate in department meetings and contribute to overall participant health outcomes
Qualifications:
High school diploma or GED required
One year of clinical or healthcare experience required
Experience with referral authorization and data processing preferred
One year experience working with frail and elderly populations preferred
Bilingual (English/Spanish) required
Ability to lift/carry up to 10 lbs and stand for long periods
Knowledge of CPT, ICD-10, and medical terminology
Excellent communication, organizational, and multitasking skills
Ability to handle confidential information ethically and work independently or as part of a team
Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.
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Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy