Referrals And Authorization Specialist

Key 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.
• Cook up coordination 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.

Required 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.

Preferred Qualifications

• Medical Assistant (MA) Experience
• Prior Authorization, Patient Registration, or Scheduling experience
• Healthcare call center experience
• Knowledge of complex specialty medical services and payer authorization guidelines.

Key Skills

• Referral Processing
• Prior Authorizations
• Insurance Verification & Benefits Review
• Epic EMR
• Medical Terminology
• Patient Scheduling
• Healthcare Claims & Billing Knowledge
• Patient & Provider Communication
• Attention to Detail
• Multi-Tasking & Organization

Experience Level

Intermediate (2+ years of relevant healthcare experience)

Job Type & Location

This is a Contract to Hire position based out of Phoenix, AZ.

Pay And Benefits

The pay range for this position is $20.00 - $20.00/hr.

About TEKsystems

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. 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.

About TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. 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.