Authorization Referral Specialist

Adecco US, Inc.; Bradenton (FL); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

401K plan

Paid leave

EAP program

Commuter benefits

Job summary

Adecco US, Inc. is seeking an Authorization & Referral Specialist to support patients with scheduling, insurance authorizations, and navigating financial assistance programs.

You will be the welcoming voice, ensuring clear communication and accurate data entry in a fast-paced healthcare setting.

Qualifications

• Strong oral and written communication skills.
• Excellent organizational and time management abilities.
• Ability to multitask and remain calm under pressure.
• Experience in a high-volume healthcare setting is a plus.

Responsibilities

• Deliver friendly customer service over the phone and assist or route callers; schedule advanced or same-day appointments.
• Verify eligibility, secure required treatment authorizations, and maintain accurate data entry.
• Interview patients for reduced fee eligibility and assist with Medicaid applications.
• Explain payment requirements, deductibles, co-pays, and out-of-pocket expenses to patients.
• Guide patients toward resources and keep EMR systems updated.
• Use EMR and phone systems while maintaining confidentiality and safety.

Skills

Communication

Attention to detail

Time management

Multitasking

Customer service

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

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.

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.