Referral Authorization Specialist - (Remote)

Cottage Hospital•Woodsville, NH

3d•Remote

About The Position

Now Hiring - Authorization & Referral Specialist Ready to make a real impact behind the scenes of patient care? If you’re detail-oriented, organized, and thrive in a fast-paced healthcare environment, this role is a great opportunity to play a key part in ensuring patients receive timely, coordinated care. Our Admitting team is looking for an Authorization & Referral Specialist who enjoys problem-solving, working across departments, and navigating insurance processes with confidence. At Cottage Hospital, your work directly supports providers, patients, and clinical teams — and you’ll be part of a collaborative, mission-driven organization that values accuracy, communication, and service. Position Details Title: Authorization & Referral Specialist (Remote) Work Location: 100% Remote Schedule: Primary schedule: Monday–Thursday, 8:00 a.m.–4:30 p.m. Alternative schedule may be considered based on department needs: Monday–Friday, 8:00 a.m.–3:00 p.m. Job Summary The Authorization & Referral Specialist is a non-licensed role responsible for obtaining insurance authorizations and processing referrals for services ordered by providers at Cottage Hospital and Rowe Health Center Specialty. These services include (but are not limited to) radiology, surgical services, infusion therapy, cardiac rehab, procedure room services, VA emergency admissions, and inpatient medical-surgical admissions. This position works primarily through electronic systems, with phone and fax used as secondary methods, to ensure authorizations are completed accurately and in a timely manner. The role requires strong attention to detail, the ability to manage multiple priorities, and a solid understanding of insurance processes — all while maintaining patient confidentiality and HIPAA compliance.

Requirements

detail-oriented
organized
thrive in a fast-paced healthcare environment
enjoys problem-solving
working across departments
navigating insurance processes with confidence
strong attention to detail
the ability to manage multiple priorities
a solid understanding of insurance processes
maintaining patient confidentiality and HIPAA compliance

Responsibilities

Receive, monitor, and process prior authorization and referral requests through the EHR, phone, and secure fax systems
Obtain insurance authorizations through payer portals or by phone and follow up on pending requests
Prioritize incoming requests to support timely patient scheduling and care
Submit required clinical documentation and medical records to support authorization approvals
Communicate effectively with insurance companies, provider offices, and internal hospital departments
Perform eligibility checks at the time referrals are created
Submit re-authorizations for therapy and ongoing services as needed
Assist with gathering documentation for medical necessity and support appeals when appropriate
Ensure all authorizations and referrals are complete and accurate before final submission
Complete additional administrative tasks as assigned