Referrals Specialist

TEK Systems; San Diego (CA); On-site; USD 34,000 - 41,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan – Pre-tax and R

Life Insurance

Job summary

TEKsystems is seeking a Bilingual Referral Authorization Coordinator (English/Spanish) in San Diego to support patient care by coordinating referrals, obtaining authorizations, and scheduling specialty services.

The ideal candidate will have healthcare administrative experience, strong customer service, and fluency in English/Spanish. The role involves collaboration with patients, providers, and insurers to ensure timely approvals and smooth appointment coordination.

Qualifications

• Bilingual in English and Spanish with full professional fluency.
• Minimum 1 year of healthcare experience including referral coordination, prior authorizations, medical office operations, or related healthcare administrative duties.
• Knowledge of health plans, eligibility requirements, and authorization processes.
• Minimum of 2 years of customer service experience.
• Experience working with EMR/EHR systems, preferably EPIC.
• High School Diploma or GED.
• Ability to type 35+ words per minute.
• Strong communication, organization, and multitasking skills.

Responsibilities

• Receive, review, and process referral and authorization requests accurately and promptly.
• Coordinate and schedule specialty appointments, diagnostic testing, Durable Medical Equipment (DME), and other provider-ordered services.
• Obtain prior authorizations from insurance carriers via phone, fax, email, and payer portals.
• Follow up on outstanding authorization requests and missing documentation to ensure timely completion.
• Review insurance eligibility, benefits, coverage guidelines, and authorization requirements.
• Track referrals and authorization status using EPIC and other healthcare systems.
• Communicate authorization updates and referral information to patients in a timely and professional manner.
• Maintain referral logs and referral closure processes by confirming appointment completion and attendance.
• Obtain specialist consultation notes, test results, and documentation following patient visits.
• Collaborate with providers, clinics, specialists, and insurance representatives to coordinate patient care.
• Assist with coverage at nearby clinic locations as needed.
• Meet established productivity, quality, and service standards.

Skills

Bilingual English/Spanish

Healthcare admin experience

Customer service

EPIC

Typing 35+ wpm

Communication

Education

High School Diploma or GED

Medical Assistant Certificate

Coding/Data Processing Certificate

Tools

EPIC EMR/EHR

Job description

Bilingual Referral Authorization Coordinator

Location: San Diego

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Employment Type: Full-Time

Experience Level: Intermediate

Position Overview

We are seeking a Bilingual Referral Authorization Coordinator (English/Spanish) to support patient care by coordinating referrals, obtaining insurance authorizations, and scheduling specialty services. This role is ideal for someone with healthcare administrative experience, strong customer service skills, and a passion for helping patients navigate the healthcare system.

The successful candidate will work closely with patients, providers, insurance carriers, and specialty offices to ensure timely authorization approvals, referral processing, and appointment coordination.

Key Responsibilities

• Receive, review, and process referral and authorization requests accurately and promptly.
• Coordinate and schedule specialty appointments, diagnostic testing, Durable Medical Equipment (DME), and other provider-ordered services.
• Obtain prior authorizations from insurance carriers via phone, fax, email, and payer portals.
• Follow up on outstanding authorization requests and missing documentation to ensure timely completion.
• Review insurance eligibility, benefits, coverage guidelines, and authorization requirements.
• Track referrals and authorization status using EPIC and other healthcare systems.
• Communicate authorization updates and referral information to patients in a timely and professional manner.
• Maintain referral logs and referral closure processes by confirming appointment completion and attendance.
• Obtain specialist consultation notes, test results, and documentation following patient visits.
• Collaborate with providers, clinics, specialists, and insurance representatives to coordinate patient care.
• Assist with coverage at nearby clinic locations as needed.
• Meet established productivity, quality, and service standards.

Required Qualifications

• Bilingual in English and Spanish with full professional fluency.
• Minimum of 1 year of healthcare experience including referral coordination, prior authorizations, medical office operations, or related healthcare administrative duties.
• Knowledge of health plans, insurance programs, eligibility requirements, and authorization processes.
• Minimum of 2 years of customer service experience.
• Experience working with EMR/EHR systems, preferably EPIC.
• High School Diploma or GED.
• Ability to type 35+ words per minute.
• Strong communication, organization, and multitasking skills.

Preferred Qualifications

• Referral Intake experience.
• Prior Authorization experience.
• Medical Assistant Certificate.
• Coding and Data Processing Certificate.
• Call Center or high-volume patient scheduling experience.

Required Skills

• Referral Intake
• Prior Authorizations
• EMR/EHR Systems
• EPIC
• Appointment Coordination
• Patient Scheduling
• Customer Service
• Insurance Verification
• Healthcare Administration
• Spanish Bilingual Communication

What We're Looking For

• A patient-focused professional who thrives in a fast-paced healthcare environment.
• Strong attention to detail and ability to manage multiple priorities.
• Excellent interpersonal and communication skills.
• Ability to work independently while collaborating effectively with cross-functional teams.
• Commitment to providing exceptional service to patients and providers.

Job Type & Location

This is a Contract position based out of San Diego, CA.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 onsite position in San Diego,CA.

Application Deadline

This position is anticipated to close on Sep 23, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company 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.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.