Revenue Cycle Insurance Authorization Refer

CommonSpirit Health • Chicago, IL

11d

About The Position

The Insurance Authorization & Referral Specialist serves as a link in the patient care journey at Yavapai Regional Medical Center. The role streamlines patient intake by securing authorizations and referrals for hospital procedures and multi-specialty services, while supporting smooth clinical operations and providing respectful, accurate, and efficient service.

The specialist manages pre-registration tasks, including collecting patient demographics, guarantor information, and insurance details; checking medical necessity; and facilitating pre-service collections. The position is a primary point of contact for patients, clinical staff, and third-party payers, and provides guidance to office teams on authorization requirements and complex account inquiries. The role also assists with training new hires, stays current with industry trends, and works collaboratively across the healthcare network.

Requirements

• High school graduate or GED, and a combination of experience and education in a medical course of study from an accredited institution.
• Two years of experience in a medical office, authorization, or hospital environment.
• Strong attention to detail and commitment to high-quality customer service.
• Ability to navigate hospital systems and enter data accurately in compliance with hospital policies.
• Ability to collaborate, support staff training, stay informed about industry trends, and adapt to a fast-paced healthcare environment.

Responsibilities

• Obtain timely authorizations and referrals for hospital procedures and multi-specialty medical services.
• Perform pre-registration duties, including insurance verification, medical necessity checks, and pre-service payment collection.
• Accurately maintain and update patient and insurance data across hospital and clinic information systems.
• Provide training and support to staff on authorization workflows and documentation requirements.
• Resolve patient account inquiries with empathy and professionalism.
• Collaborate with clinical personnel and third-party payers to coordinate care and financial services.
• Collect patient demographics, guarantor information, and insurance details.
• Provide office teams with guidance on authorization requirements and assistance with complex account inquiries.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED