Referral Specialist
5 days ago
Fresno
Job DescriptionSalary: $21-$26 WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just arent getting the medical care they need. Were on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost. Join us in our mission! POSITION SUMMARY The Referral Specialist plays a crucial role in facilitating the seamless transfer of patients between healthcare providers and ensuring that patients receive appropriate care in a timely manner. This position involves coordinating referrals, obtaining necessary authorizations, and communicating with patients, healthcare providers, and insurance companies to ensure smooth transitions of care. WHERE YOULL WORK This position is hybrid. Work from home and go into the field as needed throughout Fresno County. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm. WHAT YOULL DO • Evaluate referral requests for ECM eligibility, • Gather member information and medical records to support referrals, • Coordinate referrals with Titanium staff, hospitals, shelters, and other healthcare entities, • Verify insurance coverage and upload required documents into eClinicalWorks, • Communicate with members to schedule appointments and address concerns, • Maintain accurate records of referral activities and provider communications, • Work with Titanium clinical staff to process internal ECM referrals, • Monitor referral progress and follow up to ensure timely completion, • Resolve referral-related issues, such as insurance denials or missing documentation, • Stay updated on ECM criteria, referral policies, and healthcare service changes, • Conduct telephonic and in-person outreach, assessments, and referrals as needed, • Perform other duties and projects as assigned WHO YOU ARE • Fluent in English (written and verbal), • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner, • Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation, • Ability to identify problems and use logic and related information to develop and implement solutions, • Excellent organizational skills and attention to detail, • Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures, • Ability to communicate clearly in-person, by phone, and electronically, • Frequent use of computers, keyboard, and handheld/mobile devices, • Competent with computers, email, virtual platforms, and Microsoft Office based programs, • Ability to type for extended periods, • Must be able to remain in a stationary position, • Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested, • Must be able to move around the office and/or travel throughout community, • Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions, • Ability to climb stairsor navigate uneven terrain in community and home environments, • Ability to lift, carry, push, or pull up to 2025 pounds(e.g., laptop bag, forms, mobile equipment), • Ability to bend, reach, and conduct in-person visits in non-traditional environments, • Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice, • Ability to maintain professionalism and safety in diverse environments WHAT YOULL NEED • High School Diploma, • Minimum 1 year of experience in customer service, preferably in healthcare or social services, • Current and valid Drivers License with proof of auto insurance, • Distraction-free home workspace with a secure internet connection NICE TO HAVES • Prior experience in an outbound call center, community outreach, and canvassing, • Prior experience in healthcare or social services, • Prior experience using an EHR/EMR system, • Bilingual in Spanish WHAT YOULL ENJOY • Make an impact: an organization who cares about its employees, communities, and the future of healthcare, • Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself, • Growth: opportunities to develop and grow your career with us, • Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business, • Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy, • Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model, • Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan, • Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare, • Flexible Spending, Health Savings & Dependent Care Accounts, • Life/AD&D insurance funded 100% by Titanium Healthcare, • Supplemental Short-Term Disability, • Employee Assistance Programs, • Protect your pet(s) with Pet Insurance, • 401(k) plan EEO Statement At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce. Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.