Job Description
Hiring a Healthcare Administrator for a great company in Sacramento, CA!!
- Best candidate: At least 6 months of front office experience at a medical/health company
- Great attitude and personality, commitment, and reliability.
- Can provide 3 references that would say great things about you!
- Someone who wants to build a career within health care/medical administrating
Job Description Receives referral requests from providers and communicates with them, or a member of the patient’s care team, as the person prior authorizations for patient referrals to specialists and surgeries. Advises provider if authorization request is denied. Communicates with different insurance companies to process referrals appropriately and verifies eligibility of insurance for patients. Requests appointments from appropriate specialty providers. Verifies eligibility of insurance for patients. Communicates with patients and informs them of referral status. Requests consult notes once patient has been seen by specialist and closes referrals upon receipt. Communicates with Specialist regarding referral needs. Follows up on referrals with specialty providers and patients. Obtains ongoing knowledge, documentation, and updates of appropriate referral resources, required forms and key contact persons. Reviews and assesses medical records for referral processing. Tracks and processes referral using NextGen Diagnostics and Referrals sections in the A/P section of the SOAP note. Prioritizes and processes referrals by urgency or PCP request. Completes referral data tracking for Quality Assurance programs. Complies with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc. Other duties as assigned.
Responsibilities - Receive referral requests from providers and communicate with them or a member of the patient’s care team.
- Obtain prior authorizations for patient referrals to specialists and surgeries.
- Advise providers if authorization requests are denied.
- Communicate with different insurance companies to process referrals appropriately.
- Verify eligibility of insurance for patients.
- Request appointments from appropriate specialty providers.
- Inform patients of referral status.
- Request consult notes once the patient has been seen by a specialist and close referrals upon receipt.
- Communicate with specialists regarding referral needs.
- Follow up on referrals with specialty providers and patients.
- Maintain ongoing knowledge, documentation, and updates of appropriate referral resources, required forms, and key contact persons.
- Review and assess medical records for referral processing.
- Track and process referrals using NextGen Diagnostics and Referrals sections in the A/P section of the SOAP note.
- Prioritize and process referrals by urgency or PCP request.
- Complete referral data tracking for Quality Assurance programs.
- Comply with all state and federal laws and regulations relevant to the position, including HIPAA, sexual harassment, Scope of Practice, OSHA, etc.
- Perform other duties as assigned.
Essential Skills - Knowledge of medical terminology
- Understanding of medical insurance processes
- Excellent computer skills, preferably with Windows, including Microsoft Office Suite
- Exceptional telephone and communication skills
- Strong organizational, writing, and verbal skills
- Ability to work independently, set priorities, and work well under pressure
- Capacity to maintain a high degree of confidentiality
Additional Skills & Qualifications Work Environment
Monday to Friday, Day Shift
Pay and Benefits
The pay range for this position is $22.00 - $24.00/hr.
Requirements Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Sacramento,CA.
Application Deadline
This position is anticipated to close on Apr 21, 2025.
About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, Diversity And Inclusion Are a Bridge Towards The Equity And Success Of Our People. DE&I Are Embedded Into Our Culture Through
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Job Tags
Contract work, Temporary work, Day shift, Monday to Friday,