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You Health Medical GroupDowney, California, United States
3 days ago
Job type
Full-time
Quick Apply
Job description
Medical Office
We are seeking a highly organized and detail-oriented team member to manage referrals and insurance authorizations while supporting front office operations.
Position Overview :
This role is critical to ensuring patients receive timely specialty care and that our practice remains compliant with insurance requirements.
The ideal candidate understands managed care workflows and is comfortable working with HMO plans, IPA groups, and authorizations.
Key Responsibilities :
Referrals & Authorizations :
Process specialist referrals accurately and efficiently.
Submit and track prior authorizations (labs, imaging, procedures, DME, etc.).
Follow up with insurance companies and IPA groups.
Maintain referral logs and ensure completion.
Communicate clearly with patients regarding referral status.
Front Office Support :
Answer multi-line phone system.
Schedule appointments.
Verify insurance eligibility.
Collect copays.
Assist with patient check-in and check-out.
Qualifications :
1–2+ years experience in medical front office or referral coordination.
Strong knowledge of HMO, PPO, Medicare, Medi-Cal workflows.