Referrals And Authorization Specialist

Referral & Authorization Specialist

The Referral & Authorization Specialist is responsible for coordinating and processing specialty care referrals and authorizations to ensure patients receive timely access to medical services. This role works closely with providers, insurance carriers, and patients to obtain approvals for specialty visits, diagnostic testing, durable medical equipment, home health services, and other medically necessary treatments.

Key Responsibilities

• Process and manage incoming referral and authorization requests for specialty medical services.
• Obtain insurance approvals for specialty consultations, radiology, laboratory services, procedures, and ancillary care.
• Verify insurance eligibility, benefits, and authorization requirements.
• Coordinate with providers, payers, and patients to ensure complete and accurate documentation.
• Maintain referral and authorization records within Epic and other healthcare systems.
• Respond to patient and provider inquiries regarding referral and authorization status.
• Ensure compliance with HIPAA regulations and maintain patient confidentiality.
• Prioritize multiple requests while meeting departmental turnaround times and quality standards.

Required Qualifications

• 2+ years of healthcare experience in referrals, authorizations, patient access, scheduling, insurance verification, or related functions.
• Experience processing specialty medical referrals and obtaining insurance authorizations.
• Strong understanding of medical terminology, insurance benefits, and healthcare workflows.
• Experience working in a medical office, hospital, clinic, or healthcare call center environment.
• Proficiency with Epic EMR preferred.
• High school diploma or GED required.
• Strong attention to detail, organization, communication, and problem-solving skills.
• Ability to work independently in a fast-paced healthcare environment.

Preferred Qualifications

• Medical Assistant (MA) Experience
• Prior Authorization, Patient Registration, or Scheduling experience.
• Healthcare call center experience.
• Knowledge of complex specialty medical services and payer authorization guidelines.

Key Skills

• Referral Processing
• Prior Authorizations
• Insurance Verification & Benefits Review
• Epic EMR
• Medical Terminology
• Patient Scheduling
• Healthcare Claims & Billing Knowledge
• Patient & Provider Communication
• Attention to Detail
• Multi-Tasking & Organization

Experience Level

Intermediate (2+ years of relevant healthcare experience)

Job Type & Location

This is a Contract to Hire position based out of Phoenix, AZ.

Pay and Benefits

The pay range for this position is $20.00 $20.00/hr. 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 remote position.

Application Deadline

This position is anticipated to close on Jul 14, 2026.