Referral Specialist

Key Responsibilities

• Manage and prioritize referral, authorization, and scheduling work queues within the EHR.
• Obtain prior authorizations for imaging studies, procedures, and specialty services.
• Verify insurance eligibility and benefits.
• Collapse and coordinate MRI, CT, X-ray, EMG, and other diagnostic testing appointments.
• Communicate with patients regarding scheduling, preparation instructions, and authorization status.
• Follow up on pending referrals, authorization requests, and incomplete documentation.
• Collaborate with physicians, advanced practice providers, medical assistants, and administrative staff to facilitate patient care.
• Document all patient and payer communications accurately within the EHR.
• Monitor work queue metrics to ensure timely processing and resolution of assigned tasks.
• Serve as a resource for patients and referring providers regarding referral and authorization requirements.

Qualifications

• A high school diploma or equivalent required; an associate degree preferred.
• Minimum 2 years of experience in a medical office, specialty practice, or healthcare setting.
• Experience with prior authorizations, referrals, scheduling, and insurance verification preferred.
• Knowledge of medical terminology, spine care, orthopedics, neurosurgery, or pain management is a plus.
• Experience with EHR systems and electronic work queues.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
• Excellent communication and customer service skills.

Preferred Skills

• Experience working in a spine, orthopedic, neurosurgical, or pain management practice.
• A strong understanding of commercial, Medicare, and workers' compensation authorization requirements.
• The ability to independently manage high-volume work queues while maintaining accuracy and attention to detail.

Job Type & Location

This is a Contract position based out of New Haven, CT.

Pay And Benefits

The pay range for this position is $24.00 - $27.00/hr. 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).

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. 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. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

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.