Referrals Specialist
TEKsystems•San Ysidro, NM
•$25 - $25•Onsite
About The Position
Responsible for processing referrals and securing insurance authorizations to support timely patient care. Coordinates specialty appointments, diagnostic services, and DME while ensuring accuracy, compliance, and efficiency across multiple systems and payer guidelines.
Requirements
- Referral Intake
- Authorizations
- EMR
- Spanish Bilingual
- Appointment Coordination
- EPIC
- Customer Service
- Call Center
Responsibilities
- Process and submit authorization requests, ensuring completeness, accuracy, and timely follow-up on pending items
- Coordinate referrals and schedule services in alignment with provider orders and insurance requirements
- Obtain authorizations via phone, email, fax, and payer portals while adapting to changing processes
- Track referral and authorization status, providing clear updates to patients and care teams
- Maintain accurate documentation in system applications and manage referral closure, including appointment verification and records updates
- Communicate professionally with patients, providers, and payers, resolving inquiries and supporting a positive patient experience
- Meet productivity standards and deadlines while managing multiple priorities in a fast-paced environment
Benefits
- 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)
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
