Remote Referrals & Authorization Specialist

TEKsystems; Phoenix (AZ); On-site; USD 22,730 - 32,373; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Life insurance

Disability insurance

Health Savings Account

Transportation benefits

Employee assistance program

Paid time off

Job summary

TEKsystems is seeking an Referral & Authorization Specialist in Phoenix, AZ to coordinate and process specialty referrals and authorizations. You will work with providers, payers, and patients to obtain approvals for specialty visits, diagnostics, DME, home health, and other medically necessary treatments.

This is a contract-to-hire role with remote flexibility. The position requires 2+ years in referrals/authorizations and Epic EMR experience, with a strong eye for detail and healthcare

Qualifications

• 2+ years of healthcare experience in referrals, authorizations, patient access, scheduling, insurance verification, or related functions.
• Experience processing specialty medical referrals and obtaining insurance authorizations.
• Strong understanding of medical terminology, insurance benefits, and healthcare workflows.
• Experience working in a medical office, hospital, clinic, or healthcare call center environment.
• Proficiency with Epic EMR preferred.
• High school diploma or GED required.
• Strong attention to detail, organization, communication, and problem-solving skills.
• Ability to work independently in a fast-paced healthcare environment.

Responsibilities

• Process and manage incoming referral and authorization requests for specialty medical services.
• Obtain insurance approvals for specialty consultations, radiology, laboratory services, procedures, and ancillary care.
• Verify insurance eligibility, benefits, and authorization requirements.
• Coordinate with providers, payers, and patients to ensure complete and accurate documentation.
• Maintain referral and authorization records within Epic and other healthcare systems.
• Respond to patient and provider inquiries regarding referral and authorization status.
• Ensure compliance with HIPAA regulations and maintain patient confidentiality.
• Prioritize multiple requests while meeting departmental turnaround times and quality standards.

Skills

Referral Processing

Prior Authorizations

Insurance Verification

Medical Terminology

Patient Scheduling

Healthcare Claims & Billing

Patient & Provider Communication

Attention to Detail

Multi-Tasking

Education

High school diploma or GED

Tools

Epic EMR

Job description

TEKsystems is seeking an Referral & Authorization Specialist in Phoenix, AZ to coordinate and process specialty referrals and authorizations. You will work with providers, payers, and patients to obtain approvals for specialty visits, diagnostics, DME, home health, and other medically necessary treatments.

This is a contract-to-hire role with remote flexibility. The position requires 2+ years in referrals/authorizations and Epic EMR experience, with a strong eye for detail and healthcare