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Referral And Authorizations Specialist

2 weeks ago

Phoenix, AZ, United States Arizona Staffing Full time
Referral And Authorization Specialist

The Referral And Authorization Specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary, consult, radiology or lab visits; receiving approvals for medication formularies, durable medical equipment, home health care and other items or services needed.

Answer and place high-volume inbound and outbound calls (80+ daily) via auto-dialer to assist members with referral and scheduling needs

Review and verify insurance benefits, ensuring patients are scheduled with appropriate specialists within the Medical Group network

Generate and process 25+ referrals daily from Primary Care Physicians, maintaining accuracy and timeliness in documentation

Collaborate with care coordinators, medical offices, and provider networks to support seamless transitions of care and follow-up

Help members choose PCPs and specialists, transfer medical records, and handle various care navigation tasks with empathy and efficiency

Research and resolve member or provider questions with thorough follow-up, ensuring a high standard of service and satisfaction

Prioritize referrals across diverse specialties such as Surgical, OBGYN, Pediatrics, Radiology, Physical Therapy, Internal Medicine, and Orthopedics

Skills & Qualifications:

2+ years healthcare experience, specialty referral experience, and outside of pharmacy referrals, MA if possible or healthcare benefits experience. Call center experience is a plus

High school diploma or equivalent (GED)

Excellent listening skills required.

Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.

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 $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. 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)
Workplace Type

This is a fully remote position.

Application Deadline:

This position is anticipated to close on Dec 17, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.