Referrals And Authorization Specialist

Position Overview

The Referral & Authorization Specialist is responsible for coordinating and processing specialty care referrals and authorizations to ensure patients receive timely access to medical services. This role works closely with providers, insurance carriers, and patients to obtain approvals for specialty visits, diagnostic testing, durable medical equipment, home health services, and other medically necessary treatments.

Key Responsibilities

• Process and manage incoming referral and authorization requests for specialty medical services.
• Obtain insurance approvals for specialty consultations, radiology, laboratory services, procedures, and ancillary care.
• Verify insurance eligibility, benefits, and authorization requirements.
• Coordinate with providers, payers, and patients to ensure complete and accurate documentation.
• Maintain referral and authorization records within Epic and other healthcare systems.
• Respond to patient and provider inquiries regarding referral and authorization status.
• Ensure compliance with HIPAA regulations and maintain patient confidentiality.
• Prioritize multiple requests while meeting departmental turnaround times and quality standards.

Required Qualifications

• 2+ years of healthcare experience in referrals, authorizations, patient access, scheduling, insurance verification, or related functions.
• Experience processing specialty medical referrals and obtaining insurance authorizations.
• Strong understanding of medical terminology, insurance benefits, and healthcare workflows.
• Experience working in a medical office, hospital, clinic, or healthcare call center environment.
• Proficiency with Epic EMR preferred.
• High school diploma or GED required.
• Strong attention to detail, organization, communication, and problem-solving skills.
• Ability to work independently in a fast-paced healthcare environment.

Preferred Qualifications

• Medical Assistant (MA) Experience
• Prior Authorization, Patient Registration, or Scheduling experience.
• Healthcare call center experience.
• Knowledge of complex specialty medical services and payer authorization guidelines.

Key Skills

• Referral Processing
• Prior Authorizations
• Insurance Verification & Benefits Review
• Epic EMR
• Medical Terminology
• Patient Scheduling
• Healthcare Claims & Billing Knowledge
• Patient & Provider Communication
• Attention to Detail
• Multi-Tasking & Organization

Experience Level: Intermediate (2+ years of relevant healthcare experience)

This is a Contract to Hire position based out of Phoenix, AZ.

The pay range for this position is $20.00 - $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)

This is a fully remote position.

This position is anticipated to close on Jul 14, 2026.

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.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.