Imaging Referrals & Prior Auth Specialist III

University of Rochester; San Antonio (TX); On-site; USD 28,000 - 38,000; Full time

Job summary

The University of Rochester is seeking an experienced Referral/Authorization Specialist to oversee department referrals, coordinate appointments, and manage insurance authorizations. This role requires strong attention to detail, patient advocacy, and robust knowledge of EMR workflows.

You will work closely with clinics, insurance companies, and patients to secure timely authorizations, ensure accurate patient data, and maintain compliance with enterprise standards.

Qualifications

• High School diploma or equivalent and 2 years of relevant experience required.
• Medical terminology knowledge is preferred but not required.
• Experience with scheduling software and electronic medical records is a plus.

Responsibilities

• Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines.
• Communicates with patients, families, clinical and non-clinical staff to identify barriers to appointment compliance and tracking assistance.
• Plans, executes, appeals, and follows through on all aspects of the prior authorization process for referrals and imaging requests.
• Manages department referrals, acts as liaison between referring offices, specialists, and patients to coordinate visits and procedures.
• Performs complex appointment scheduling, linking referrals and ancillary services for the assigned specialty service.

Skills

Attention to detail

Interdepartmental coordination

Data analysis

Education

High School diploma or equivalent

Job description

The University of Rochester is seeking an experienced Referral/Authorization Specialist to oversee department referrals, coordinate appointments, and manage insurance authorizations. This role requires strong attention to detail, patient advocacy, and robust knowledge of EMR workflows.

You will work closely with clinics, insurance companies, and patients to secure timely authorizations, ensure accurate patient data, and maintain compliance with enterprise standards.