Referral And Authorization Specialist

TEKsystems; Phoenix (AZ); Remote; USD 10,000 - 60,000; Full time

Job summary

A healthcare staffing agency is seeking a Referral and Authorization specialist to manage patient referrals and authorizations for specialty services. Candidates should have 2+ years of healthcare experience and strong medical terminology knowledge. This fully remote role offers a pay rate of $20.00/hr and comprehensive benefits including medical, dental, and retirement plans.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Employee Assistance Program

Qualifications

• 2+ years of healthcare experience required, preferably with specialty referrals.
• Call center experience is a plus.
• Requires medical office or healthcare environment experience.

Responsibilities

• Ensure patients are cleared for specialty service office visits.
• Obtain and issue referrals for ancillary, consult, radiology or lab visits.
• Receive approvals for medication formularies and other items.

Skills

Healthcare experience

Referral processing

Medical terminology knowledge

Excellent listening skills

Organizational skills

Education

High school diploma or equivalent (GED)

Job description

The Referral and Authorization specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary, consult, radiology or lab visits; receiving approvals for medication formularies, durable medical equipment, home health care and other items or services needed.

Additional Skills & Qualifications

• 2+ years healthcare experience, specialty referral experience, and outside of pharmacy referrals, MA if possible or healthcare benefits experience.
• Call center experience is a plus!
• Patient Registration, Scheduler, Prior Authorization
• Medical Office or Healthcare environment
• Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required.
• High school diploma or equivalent (GED)
• Excellent listening skills required.
• Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.
• Must maintain member confidentiality at all times.
• This role focuses on Complex Specialty Medical Services. Medical terminology knowledge is a must!

Experience Level: Intermediate Level

Pay and Benefits

• The pay range for this position is $20.00 - $20.00/hr.
• Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type: This is a fully remote position.

Application Deadline: This position is anticipated to close on Oct 10, 2025.

TEKsystems is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.