Care Access & Authorization Specialist

Memorial Healthcare; United States; On-site; USD 42,000 - 65,000; Full time

Job summary

Memorial Healthcare System in Hollywood, FL seeks a Referrals and Authorizations Coordinator to secure prior authorizations and referrals for inpatient and outpatient care across medical and surgical services. You will collaborate with clinical and scheduling teams, verify insurance benefits, and facilitate timely access to care while supporting accurate reimbursement with payer compliance.

Required: high school diploma; two years in medical practice with authorization experience preferred;

Qualifications

• High school diploma or equivalent required.
• Two years of medical practice experience with authorization experience preferred.
• Familiarity with payer portals, EMR systems and healthcare billing is a plus.

Responsibilities

• Secures prior authorizations and referrals for inpatient and outpatient services across surgeries, procedures and visits.
• Collaborates with clinical and scheduling teams on authorization status to support treatment planning.
• Verifies insurance eligibility and benefits for patients, including coverage for specialties and services.
• Obtains and documents prior authorizations and referrals with appropriate documentation and approvals.
• Serves as liaison between providers, patients and insurers to resolve authorization/referral issues.

Skills

Accountability

Accuracy & Quality

Customer Service

EHR Proficiency

Effective Communication

HIPAA Compliance

Insurance Verification

Organization Skills

Patient Centered Care

Problem Solving

Productivity

Teamwork

Workload Management

Education

High School Diploma or Equivalent

Associate’s degree preferred

Job description

Memorial Healthcare System in Hollywood, FL seeks a Referrals and Authorizations Coordinator to secure prior authorizations and referrals for inpatient and outpatient care across medical and surgical services. You will collaborate with clinical and scheduling teams, verify insurance benefits, and facilitate timely access to care while supporting accurate reimbursement with payer compliance.

Required: high school diploma; two years in medical practice with authorization experience preferred;