Authorization Referral Specialist

Authorization & Referral Specialist

Pay Rate: $21.00 – $23.00 / hour

FLSA Status: Non-Exempt

Department: Authorization & Referral

Reports To: Clinical Operations

About the Role

We are seeking a compassionate, detail-oriented Authorization & Referral Specialist to join our team. In this high-impact role, you will be the welcoming voice for our patients, assisting them with scheduling, insurance authorizations, financial assistance programs, and navigating their healthcare options.

If you thrive in a fast-paced environment, excel at clear communication, and are passionate about helping patients access quality care, we would love to hear from you.

Key Responsibilities

• Patient Engagement & Scheduling: Deliver friendly, professional customer service over the phone; answer calls within three rings and efficiently assist or route callers. Call patients to schedule advanced or same-day appointments accurately.

• Insurance & Financial Verification: Verify eligibility, secure necessary treatment authorizations, and maintain a 98% accuracy rate on demographic and insurance data entry.

• Financial Assistance Guidance: Interview patients for reduced fee eligibility using current poverty guidelines, Medicaid, and specialized funding programs (e.g., PEPW). Assist patients with Medicaid applications and required financial documentation.

• Payment Transparency: Explain payment requirements, deductibles, co-pays, and out-of-pocket expenses to patients, facilitating smooth collections and coordinating with Billing and Financial Counselors as needed.

• Patient Navigation: Inform and guide patients toward appropriate resources and services while keeping electronic medical record (EMR) systems updated.

• System Operations: Utilize electronic medical patient information systems and phone systems efficiently while maintaining confidentiality and safety standards.

Qualifications & Requirements

Required:

• High School Diploma or GED equivalent.

• Strong oral and written communication skills with exceptional attention to detail.

• Excellent organizational and time management abilities.

• Ability to multitask, problem-solve quickly, and maintain a calm, professional demeanor under pressure.

Preferred:

• At least 5 months of customer service experience in a high-volume healthcare setting.

• Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and web-based tool systems.

• Experience with Medicaid applications, financial eligibility screening, or medical billing/authorizations.

Physical Demands & Working Conditions

• Frequently required to sit, speak, hear, and use keyboard/computer software systems for extended periods.

• Position involves walking, standing, reaching, and occasionally lifting or moving up to 25 lbs.

• Must be able to manage time effectively in a busy, dynamic environment.

How to Apply

If you meet the qualifications above and are dedicated to supporting community healthcare, please submit your application and resume online.

Pay Details: $21.00 to $23.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.