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Referral Specialist I

Pacific Central Coast Health Center Santa Maria, California
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The posted compensation range of $23.00 - $29.05 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-414832 Employment Type Full Time Department General Medical Clinic Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday 8:00am-5:00pm Remote No Category Administrative and Clerical

Responsibilities

The Referral Specialist serves as the liaison for patients and physicians while providing education to the patients regarding insurance coverage, benefits and guidelines. Works with patients requiring a referral,
to ensure patient’s referral needs are fulfilled for specialty service office visits, ancillary testing and/or surgical procedures. Processes referrals, authorizations and pre-certifications to ensure proper patient
care is met. Performs a wide range of administrative duties to include but not limited to; verification of benefits, maintain ongoing tracking; gathering appropriate documentation on referrals to promote team
awareness and guarantee patient safety; contacting insurance companies to ensure prior approval requirements are met and regularly updating the patient’s primary care chart, so it is up to date with
information on specialist consults and communication from all inhouse and outside parti


Qualifications

-1-year related experience in a healthcare environment -History in patient scheduling/registration, insurance verification and referral coordination
-Strong customer service focus
-Resourcefulness in problem solving
-Effective verbal and written communication skills
-Teamwork orientation
-Organized record keeping
-Able to take and follow through with delegated tasks and accountability

High School Diploma/GED

Overview

Dignity Health’s Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coast’s award-winning network of outstanding hospitals, imaging centers, laboratories, and post-acute services.

One Community. One Mission. One California 

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.