Medical Authorization & Referral Specialist (Hybrid)

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

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.