Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days

jmh· JMHPN John Muir Physician Network
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📍 Walnut CreekPart time💰 USD 27–37
Part timeJMHPN John Muir Physician Network

About this role

Job Description:

Performs daily operational functions to effectively process authorization requests for full risk and shared risk group plans. Forwards and tracks requests to Utilization Review (UR) and processes determination upon return. Conducts research and communication with providers for retrospective or non-communicated authorizations when no authorization is on file or services are not properly authorized at the time of claim receipt. Assists providers and patients with process and status questions upon request from provider and member services departments. Maintains statistics and reports on authorization activity.

Education:

  • High School Graduate or Equivalent Preferred

Experience:

  • Health Maintenance Organization Referrals Required

Certifications/Licensures:

  • Epic - Proficiency must be passed within 90 days of Start Date Required

Skills:

  • Knowledge of organizations policies, procedures, systems and objectives.

  • Knowledge of medical terminology, ICD-10, CPT and HCPCS coding required.

  • Trained in Health Insurance Portability and Accountability Act (HIPAA) general protocols with additional training specific to department as required & Security Policies and Procedures.

  • Proficient in Microsoft Office Products (Word, Excel, Outlook and Power Point).

  • Maintains professional and personal integrity.

  • Must be able to maintain effective working relationships with a wide variety of individuals.

  • Ability to deal diplomatically with all types of individuals under stressful situations.

  • Basic knowledge of medical terminology, anatomy and physiology.

  • Skill in developing comprehensive reports.

Work Shift:

08.0 Per Diem No Waive (United States of America)

Pay Range:

$27.03 - $36.50

Hourly

Offer amounts are based on demonstrated/relevant experience and/or licensure.
Pay will be adjusted to the local market if hired outside of the Bay Area.

Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word ‘exempt’ on it.

Scheduled Weekly Hours:

0

Frequently Asked Questions

What is the salary for the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days role at jmh?
The listed salary for this Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days position at jmh is USD 27–37. This is an Part time role.
Where is the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days position at jmh located?
This Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days role at jmh is based in Walnut Creek. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days role at jmh full-time or part-time?
This is listed as a Part time position. It is posted as a Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days role in the JMHPN John Muir Physician Network department at jmh.
Which team or department does the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days at jmh belong to?
This Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days position is part of the JMHPN John Muir Physician Network department at jmh. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days position at jmh?
Click the "Apply Now" button on this page. You will be redirected to jmh's official application portal hosted on workday where you can submit your application directly.
When was the Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days job at jmh posted?
This Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days position at jmh was posted on Aug 24, 2026. Apply as soon as possible — early applications are often reviewed first.
Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days
jmh · 💰 USD 27–37
Apply for this role ↗

You'll be redirected to jmh's official application page on Workday.