Referral Authorization Manager

Job DetailsJob Location: La Brea - Los Angeles, CA 90016Salary Range: $70,304.00 - $75,000.00 Salary/yearUnder the direction of the Director of Patient Services, this position is responsible for the oversight of the department performance, staffing, and referral clerks/coordinators supervision. Essential Duties and Responsibilities: Manage and train, evaluate direct reports Manage staff schedules and approve time and attendance Provide necessary and routine reports Streamline existing referral processes and protocols, and standard operating procedures across clinics. Monitor daily referral & prior authorization turnaround time and conversion rates to identify operational obstacles, providing resolutions. Review and analysis for all referral/authorizations submitted by the health centers timely and accurately Communicate with providers, clinical, and non-clinical support staff Ensure medical documentation meets the billing and approval standards of insurance carriers. Ensure regulatory compliance with required submission timelines Proficient written and verbal communication Adhere to company policy and procedures Qualifications 4 years of progressive experience processing referrals and pre-authorizations in a medical administration or referral coordination role. 1-2 years of experience managing direct reports. Bilingual in Spanish (required). Advance knowledge with medical terminology, IPA processes, and ICD, CPT codes Experience working in a professional setting, healthcare related and/or supervisory experience, FQHC experience preferred Experience with ECW and E-Consult Highschool graduate or higher education Ability to work with population or diverse cultural, educational, social, and economic backgrounds