Prior Authorization Coordinator

Company Overview

Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California's Inland Empire. In 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.

As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team

Responsibilities

• Request prior authorizations from a variety of health plans for visits, procedures, and referrals.
• Monitor and track the status of patient referrals, following up with health plans as needed.
• Maintain accurate and detailed records of patient referrals, including referral forms and documentation of communication.
• Ensure compliance with documentation and data entry protocols.
• Verify patient insurance coverage.
• Provide regular updates to healthcare providers and management on referral trends and issues.
• Collaborate with healthcare providers and staff to identify opportunities for improving the referral process.
• Be open-minded to process changes and new technologies.
• Ensure compliance with healthcare regulations, including HIPAA and relevant state and federal guidelines.
• Maintain confidentiality and security of patient information.
  
  

Requirements

• High school diploma or equivalent.
• Knowledge of medical terminology, including CPT and ICD-10 codes.
• At least 1 year of experience as a Referral Coordinator in any specialty.
• Strong collaborator with a positive, team-focused mindset.
• Enthusiastic about contributing to a supportive and team-oriented culture.
  
  

Hourly pay range

$21—$23 USD

Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.