Senior Referral & Prior Authorization Specialist

University of Rochester; Town of Brighton (NY); On-site; USD 58,168,000 - 78,541,000; Full time

Job summary

The University of Rochester in Rochester, NY is seeking a Referral and Authorization Specialist to manage department referrals, coordinate scheduling, and serve as a patient advocate. You will analyze data to monitor patient compliance and ensure timely communication with referring offices and patients.

Responsibilities include preparing complex authorization requests, coordinating with insurers, and maintaining accurate documentation in the electronic health record.

Qualifications

• Experience with medical terminology.
• Experience with scheduling and referrals.
• Ability to obtain prior authorizations.
• Strong communication with patients and staff.

Responsibilities

• Manage department referrals and coordinate scheduling.
• Obtain insurance authorizations and track referrals.
• Communicate with patients, families, and staff to resolve barriers.
• Maintain accurate referral and authorization records in EHR.
• Escalate urgent cases and ensure timely follow-up.

Skills

Data analysis

Patient coordination

Referral management

Insurance authorization

Communication with patients

Education

High School diploma

Medical Terminology

Tools

Epic

Scheduling software

Job description

The University of Rochester in Rochester, NY is seeking a Referral and Authorization Specialist to manage department referrals, coordinate scheduling, and serve as a patient advocate. You will analyze data to monitor patient compliance and ensure timely communication with referring offices and patients.

Responsibilities include preparing complex authorization requests, coordinating with insurers, and maintaining accurate documentation in the electronic health record.