Job Overview:

We are looking for a detail-oriented and efficient Healthcare Authorizations & Referrals Clerk to join our warm, dynamic team! In this vital role, you will help our patients get the care they need by processing 80-100 daily outgoing referrals and prior authorizations for services like MRI, X-ray, Physical Therapy, Braces, EMG, and specialist visits. If you thrive in a fast-paced environment and bring strong organizational skills, you will find a fulfilling home for your talents here. Your proficiency in Electronic Medical Records (EMR) systems will be key to ensuring the timely, accurate documentation our community relies on.

Schedule:

• Monday - Friday, 9:00 AM - 6:00 PM Bakersfield, CA, with 1 hour unpaid break (40 work hours per week)

Responsibilities:

• Verify patient eligibility and insurance benefits.
• Process and follow up on referrals and authorizations.
• Handle patient phone calls and route them appropriately.
• Assist with appointment scheduling as needed.
• Support general front desk operations remotely.

Requirements:

• Experience: Minimum of 1 year in a medical referrals/authorizations role, preferably in a pain management or high-volume specialty clinic.
• Technical Skills: Experience with Electronic Medical Records (EMR) systems and insurance portals.
• Organizational Skills: Ability to manage 80-100 referrals/authorizations daily with accuracy and efficiency.
• Time Management: Ability to handle multiple tasks in a fast-paced environment while meeting deadlines.
• Attention to Detail: Ensures accuracy in all documentation and submissions.
• Communication Skills: Professional verbal and written communication to coordinate with providers, patients, and insurance representatives.
• Problem-Solving: Ability to troubleshoot and resolve authorization issues efficiently.
• Certification: Has HIPAA certification.

Preferred:

• Experience in pain management, orthopedics, or physical therapy referrals is a plus.
• Familiarity with Medicare, Medicaid, and commercial insurance authorization processes.
• Bilingual (English/Spanish) preferred but not required.

Independent Contractor Perks:

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Note:

• Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. We will set your hourly pay rate based on your performance in the application process. Submissions that meet all requirements will receive priority review.