Remote Pre-Auth & Referral Specialist

MyVASupport; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A U.S.-based medical office is seeking an experienced Pre-Authorization & Referral Coordinator to manage insurance verifications, authorizations, and referral coordination. This full-time remote role requires over 2 years of experience in a U.S. medical setting, strong knowledge of Medicare, Medicaid, and commercial insurance, and effective communication skills. The ideal candidate will ensure compliance with insurance guidelines and help patients navigate their insurance benefits efficiently.

Qualifications

• 2+ years of experience in a U.S. medical office handling insurance verification and prior authorizations.
• Proven hands-on experience obtaining authorizations independently.
• Strong knowledge of deductibles, copays, coinsurance, and out-of-pocket maximums.

Responsibilities

• Verify active insurance coverage and review detailed benefits.
• Determine patient financial responsibility.
• Obtain and manage prior authorizations for procedures and imaging.

Skills

Insurance verification

Prior authorizations

Knowledge of Medicare

Knowledge of Medicaid

Strong English communication

Tools

EMR/EHR systems

Payer portals

Job description

A U.S.-based medical office is seeking an experienced Pre-Authorization & Referral Coordinator to manage insurance verifications, authorizations, and referral coordination. This full-time remote role requires over 2 years of experience in a U.S. medical setting, strong knowledge of Medicare, Medicaid, and commercial insurance, and effective communication skills. The ideal candidate will ensure compliance with insurance guidelines and help patients navigate their insurance benefits efficiently.