Healthcare Authorization & Referral Specialist

Comprehensive Healthcare; Yakima (WA); On-site; USD 44,000 - 66,000; Full time

Benefits offered by this job

Training opportunities

Excellent benefits

Retirement plan

Job summary

Comprehensive Healthcare is seeking an Authorization & Referral Specialist in Yakima, WA to manage prior authorizations and referrals across multiple programs. You will verify insurance coverage, interpret payer requirements, and ensure documentation supports medical necessity prior to service delivery.

The role requires at least a high school diploma and 1+ year of healthcare experience. Strong attention to detail and knowledge of payer policies are essential for success in a collaborative,

Qualifications

• Minimum one year of experience in a healthcare setting.
• Experience with insurance verification or prior authorizations preferred.
• Knowledge of Medicare/Medicaid and commercial payer requirements helpful.

Responsibilities

• Coordinate and manage prior authorizations across multiple programs.
• Verify insurance benefits and eligibility to support accurate submissions.
• Interpret payer requirements and ensure compliance prior to service delivery.
• Submit authorization requests with clinical documentation and monitor timelines to prevent delays.

Skills

Insurance verification

Prior authorizations

Healthcare revenue cycle

Payer compliance

Attention to detail

Education

High school diploma or GED

Tools

EHR systems

payer portals

Job description

Comprehensive Healthcare is seeking an Authorization & Referral Specialist in Yakima, WA to manage prior authorizations and referrals across multiple programs. You will verify insurance coverage, interpret payer requirements, and ensure documentation supports medical necessity prior to service delivery.

The role requires at least a high school diploma and 1+ year of healthcare experience. Strong attention to detail and knowledge of payer policies are essential for success in a collaborative,