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Referral And Authorizations Specialist
Referral And Authorizations SpecialistTEKsystems • Phoenix, AZ, United States
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Referral And Authorizations Specialist

Referral And Authorizations Specialist

TEKsystems • Phoenix, AZ, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]
  • Description
  • 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
    • Skills & Qualifications
    • 2+ years healthcare experience, specialty referral experience, and outside of pharmacy referrals,

      MA if possible or healthcare benefits experience.

      Call center experience is a plus!

    • High school diploma or equivalent (GED
    • Excellent listening skills required.
    • Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.
    • Experience Level
    • Intermediate Level

    • Job Type & Location
    • This is a Contract to Hire position based out of Phoenix, AZ.
    • Pay and Benefits
    • The pay range for this position is $18.00 - $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)
    • Workplace Type
    • This is a fully remote position.
    • Application Deadline
    • This position is anticipated to close on Dec 17, 2025.
    • h4>

      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.

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