Referrals & Authorizations Specialist I
This position is no longer accepting applications(closed Aug 17, 2026).
Job Description Summary
Bilingual Required: Spanish
How will you make an impact & Requirements
- Collaborates with referring physician offices to ensure referrals are completed appropriately
- Ensures that referrals are addressed in a timely manner
- Reviews details and expectations about the referral with patients
- Communicates effectively about the EMR system
- Needs basic knowledge of insurance information (i.e. HMO vs. PPO), classes of insurance and is able to instruct and explain to the patient
- Makes outgoing calls to patients to inform them of the preferred in network provider that they are being referred to
- Verifies if patient would like assistance in coordinating the appointment
- Verifies with patient that all information is attached to request
- Coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices
- Communicates effectively and professionally with specialist offices
- Assists in sending Athena fax request to specialist office
- Ensures complete and accurate registration, including patient demographic and current insurance information
- Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist
- Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success
- Daily work is accomplished with minimal direct supervision
- Work priorities are set in order to accomplish task/goals
- Confidential matters are handled appropriately
- Provides high-level customer service to both referring physicians as well as referred patients
- Confidentiality of patient data is maintained at all times
- Workspace is maintained in an organized and professional manner
- Courteous and professional demeanor is demonstrated at all times