Remote Referral & Pre-Auth Specialist | Patient Access

PeaceHealth Corporation; Vancouver (WA); Remote; USD 34,000 - 45,000; Full time

Job summary

PeaceHealth is seeking a Referral/Pre-Auth Specialist for a fully remote role. You will review referral and prior authorization requests, contact insurance providers for approvals, and guide cases through to completion with accuracy and empathy.

This position supports patient access and care coordination within PeaceHealth’s PFS Referrals & Eligibility team, with a focus on timely approvals, clear patient communication, and collaboration with providers and care teams.

Qualifications

• 2–3+ years of direct experience verifying and submitting referrals and/or prior authorizations in a medical setting.
• Clear understanding of the difference between a referral and a prior authorization.
• Ability to manage multiple priorities while staying organized and accurate.
• Experience working with insurance requirements across procedures, therapies, or diagnostics.
• Comfort navigating multiple systems and working independently in a remote environment.

Responsibilities

• Review referral and prior authorization requests and ensure nothing is missing.
• Contact insurance providers to secure approvals for procedures, tests, and treatments.
• Follow each case through to completion, not just submission.
• Talk with patients when needed to explain what’s happening and what to expect.
• Coordinate with providers, clinics, and specialists to move referrals smoothly.
• Track updates, decisions, and important details in the patient record.
• Stay current on insurance rules and adjust quickly when requirements change.
• Step in to resolve denials or delays so care doesn’t stall.

Skills

Referral submissions

Prior authorizations

Insurance knowledge

Remote work

Job description

PeaceHealth is seeking a Referral/Pre-Auth Specialist for a fully remote role. You will review referral and prior authorization requests, contact insurance providers for approvals, and guide cases through to completion with accuracy and empathy.

This position supports patient access and care coordination within PeaceHealth’s PFS Referrals & Eligibility team, with a focus on timely approvals, clear patient communication, and collaboration with providers and care teams.