Authorization Specialist

Stony Brook Administrative Services; Commack (NY); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Benefits/PTO

401k

Life Insurance

Job summary

Stony Brook Administrative Services is seeking an Authorization/Referral Specialist to serve as a liaison between physicians and patients within the Authorization Department. You will handle calls, emails, and faxes, obtain prior authorizations for medications and procedures, and ensure accurate demographic and insurance data.

The role requires 3 years of medical office admin experience, strong typing and MS Office proficiency, and adherence to HIPAA guidelines.

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.

Responsibilities

• 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.

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 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 Island Fertility - Fertility

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.

$20.00-$25.50

Shift Days

Tags Benefits/PTO/401k/Life Insurance

Salary Range

Position Authorization/Referral Specialist

Open Date 9/14/2026

This position is currently accepting applications.