Authorization/Referral Specialist

Stony Brook Administrative Services; Commack (NY); Hybrid; USD 27,000 - 34,000; Full time

Benefits offered by this job

Hybrid after 3 months

Job summary

SB Administrative Services, LLC is seeking an Authorization/Referral Specialist to operate in the Centralized Business Office, acting as a liaison between physicians and patients to obtain prior authorizations for medications and procedures.

The role requires handling referrals, authorizations, and related administrative duties with HIPAA compliance, delivering accurate data, and coordinating across practices. This is a full-time, hybrid role after an initial period.

Qualifications

• High School Diploma or GED required.
• Three years of administrative experience in a medical office.
• Prior pre-authorization experience requested.
• Strong organizational and communication skills.
• Excellent typing and telephone etiquette.
• Microsoft Office proficiency.

Responsibilities

• Obtain authorizations for ancillary tests and procedures.
• Coordinate and process all patient referrals including specialty and ancillary services.
• Verify and maintain accurate registration, demographics, and insurance data.
• Serve as liaison between MSO and healthcare providers with strong customer service.
• Perform eligibility checks by phone or electronically.
• Follow procedures for proper authorization and referral processing.
• Assist physicians and patients in coordinating appointments, authorizations, and tests across practices.
• Maintain HIPAA confidentiality and secure handling of health records.
• Enter all referral authorizations into EMR and practice management systems.
• Monitor referral reports and follow up as needed.
• Perform other duties as assigned.

Skills

Organizational skills

Communication skills

Typing

Microsoft Office

Medical terminology familiarity

Education

High School Diploma or GED

Tools

EMR

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

JOB SUMMARY:

The Authorization/Referral specialist works in the Authorization Department within the Centralized Business Office, as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.

JOB RESPONSIBILITES:

• Obtains authorizations for ancillary tests and medical procedures.
• Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
• Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
• Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
• Performs eligibility checks on members as necessary by telephone or electronically.
• Follows procedures for proper authorization and processing of all referral services.
• Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
• Communicates with patient and practice to ensure follow through with referrals.
• Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
• Completes all administrative functions related with referral activities in an efficient manner.
• Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
• Responsible for monitoring all referral reports not received and follow up in a timely manner.
• Performs duties in honest and ethical manner.
• Perform other duties as assigned.

Category Business Support

Exempt/Non-Exempt Non-Exempt

Location SB Administrative Services, LLC

Full-Time/Part-Time Full-Time

Position Requirements

REQUIRED QUALIFICATIONS:

• High School Diploma/GED minimum.
• Three (3) years of administrative experience in a medical office setting.
• Prior pre-authorization process experience.
• Strong organizational and communication skills (both verbal and written).
• Excellent typing skills and friendly telephone etiquette.
• Microsoft Office proficiency.

PREFERRED QUALIFICATIONS:

• EMR experience.
• Experience with managed care companies.
• Familiarity with medical terminology, CPT procedure codes, and ICD-10 codes.

Shift Days

Tags Full time, Located in Commack, Benefits & PTO. Hybrid after 3 months

Salary Range $19.51-$24.37 per hour

Position Authorization/Referral Specialist

Open Date 8/26/2026

This position is currently accepting applications.