Referral Specialist

Published February 20th, 2025

Authorizations Coordinator

Hours: Fulltime, 8a-4:30pm M-F – flex

Location:  Waltham MA

  • this will be hybrid eventually, but initially in Waltham for the first 6 months

Looking for someone skilled in insurance verifications

Hourly Rate: $24-$27

Representative Job Duties:

  • Collects request for company and outside specialists or diagnostic visits and determines whether managed care authorization is needed.
  • Obtains provider authorization (or denial) for a referral and notifies outside specialists and patients of authorization numbers.
  • Documents in the medical record: details about referral; the steps to making the referral ; and communications regarding the referral
  • Serves as liaison between the outside specialist and referring physician and schedules internal and external appointments.
  • Notifies patients of scheduled appointments and educates them about their appointments and any necessary preparation.
  • Interacts with insurance companies to obtain the prior authorizations for the patients for  procedures and dealing with out of network referrals and worker’s comp. cases.
  • Assumes other duties as required.

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