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