Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Referral processing, Medical billing, Pre-authorizations, Reimbursement regulations, Medi-Cal
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Medical Assisting, Patient Care Coordination, Medicare Annual Wellness Visits, Complex Case Management, Bilingual Spanish
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Personal care, ADLs, IADLs, Care coordination, Patient monitoring
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Huntington Park, California, United States · On-site
$25/hr–$29/hr
Entry level$50K raised
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Personal care, ADLs, IADLs, Care coordination, Patient monitoring
Huntington Park, California, United States · On-site
$25/hr–$29/hr
Entry level$50K raised
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Personal care, ADLs, IADLs, Care coordination, Patient monitoring
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Monterey Park, California, United States · On-site
Mid level$50K raised
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Monterey Park, California, United States · On-site
Mid level$50K raised
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Geriatric medicine, Internal medicine, Palliative care, Utilization management, Case management
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Transportation coordination, Scheduling, Dispatching, Electronic health records, Geriatrics care
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Specialist, Field Marketing & Sales (IPA Network Operations)
Montebello, California, United States · On-site
$69k–$86k/yr
Senior$50K raised
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Field Marketing, Sales, Enrollment Growth, Relationship Management, Team Supervision
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Care Coordination, Activity Planning, Dementia Care, Elderly Care, Virtual Activity Provision
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
Skills: Medical Coding, ICD-10-CM, CPT, HCPCS, Charge Reconciliation
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and p…
The Referral Specialist I is responsible for processing referral requests from various sources to ensure compliance with federal, state, and health plan requirements. They facilitate timely authorizations and notifications while managing essential referral functions.
Requirements
Candidates must have a high school diploma and at least one year of experience in a medical billing environment. Proficiency with pre-authorizations and government programs like Medi-Cal and CCS is required.
Full job description
Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
Job Overview
The Specialist I, Referrals, is responsible for processing referral requests from various sources to ensure compliance with federal, state, or Health Plan-specific turnaround time requirements. The Specialist is accountable for facilitating timely authorizations and notifications, as well as other referral management functions.
Minimum Requirements
High school diploma required. Medical Assistant Certificate or Medical Billing Certificate preferred.
Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required.
Bilingual English/Spanish preferred.
Compensation
$25.00 - $29.32 hourly
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
AltaMed is one of the nation’s largest community health networks. For more than 55 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals dedicated to their patients, communities, and careers, AltaMed offers an opportunity to pursue professional goals with pride and distinction.
As a non-profit organization, we focus on the needs of our patients and the well-being of our communities. Our commitment to community health pushes us to look beyond our offices and clinics and see not just patients, but new possibilities for community wellness. Many of our employees joined us because their families were AltaMed patients and saw firsthand that patients are at the center of all we do.
This approach supports our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), which ensures quality standards in U.S. medical facilities. We were the first community health network in the nation designated as a Primary Care Medical Home (PCMH). We are extremely proud of our patient satisfaction achievements, including our highest scores during our greatest period of growth. We have expanded to 40+ locations in Southern California, offering primary medical, dental, and senior care. We are active in community outreach and education and staffed by dedicated professionals committed to patient care.
Always looking for ways to serve more people, AltaMed leads the industry in bringing new individuals into our nation’s health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, providing comprehensive care throughout patients’ lives. We will continue to build on our reputation as a rewarding long-term choice for both patients and professionals who believe quality health care is everyone’s right.
Offices: 2040 Camfield Avenue, Los Angeles, CA 90040, US
AltaMed is one of the nation’s largest community health networks. For more than 55 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals dedicated to their patients, communities, and careers, AltaMed offers an opportunity to pursue professional goals with pride and distinction.
As a non-profit organization, we focus on the needs of our patients and the well-being of our communities. Our commitment to community health pushes us to look beyond our offices and clinics and see not just patients, but new possibilities for community wellness. Many of our employees joined us because their families were AltaMed patients and saw firsthand that patients are at the center of all we do.
This approach supports our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), which ensures quality standards in U.S. medical facilities. We were the first community health network in the nation designated as a Primary Care Medical Home (PCMH). We are extremely proud of our patient satisfaction achievements, including our highest scores during our greatest period of growth. We have expanded to 40+ locations in Southern California, offering primary medical, dental, and senior care. We are active in community outreach and education and staffed by dedicated professionals committed to patient care.
Always looking for ways to serve more people, AltaMed leads the industry in bringing new individuals into our nation’s health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, providing comprehensive care throughout patients’ lives. We will continue to build on our reputation as a rewarding long-term choice for both patients and professionals who believe quality health care is everyone’s right.
Offices: 2040 Camfield Avenue, Los Angeles, CA 90040, US