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Referral Authorization Jobs (NOW HIRING)

PMHD

Call Center Referral/Authorization Clerk

Brawley, CA · On-site

$18.50 - $23.50/hr

Under the supervision of the call center coordinator, the authorization and referral clerks facilitate requests for authorizations and referrals under a providers order for the clinic systems. Duties ...

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Referral Authorization information

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$29K

$57.5K

$77.5K

How much do referral authorization jobs pay per year?

As of Jun 8, 2026, the average yearly pay for referral authorization in the United States is $57,451.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is the difference between Referral Authorization vs Referral Coordinator?

AspectReferral AuthorizationReferral Coordinator
CredentialsTypically requires healthcare licensing or certificationOften requires healthcare administration or coordination experience
Work EnvironmentHealthcare settings, hospitals, clinicsMedical offices, healthcare facilities, insurance companies
Employer & Industry UsageUsed by healthcare providers to approve specialist referralsUsed by healthcare organizations to manage referral processes
Search & Comparison IntentUnderstanding authorization process for referralsManaging or coordinating referrals within healthcare

Referral Authorization involves approving or validating patient referrals to specialists, often requiring healthcare credentials. Referral Coordinators manage the referral process, ensuring smooth communication between providers and patients. While both roles are integral to patient care, Referral Authorization focuses on approval, whereas Referral Coordinators handle the overall coordination.

What are the key skills and qualifications needed to thrive as a Referral Authorization Specialist, and why are they important?

To thrive as a Referral Authorization Specialist, you need strong knowledge of medical terminology, health insurance processes, and prior authorization procedures, usually supported by a high school diploma or healthcare certification. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management tools is essential. Attention to detail, time management, and effective communication skills are crucial soft skills in this role. These abilities ensure timely and accurate processing of referrals, minimize claim denials, and support coordinated patient care.

What are Referral Authorization jobs?

Referral Authorization jobs involve reviewing and processing requests for patients to see specialists or receive certain medical services, ensuring that these requests meet insurance or healthcare policy requirements. Professionals in this role typically verify patient information, communicate with healthcare providers, and obtain necessary approvals from insurance companies. They play a crucial part in streamlining access to care while helping healthcare organizations comply with regulatory and payer guidelines. Strong attention to detail, communication skills, and knowledge of medical terminology are important for success in this field.

How does a Referral Authorization Specialist typically collaborate with healthcare providers and insurance companies?

A Referral Authorization Specialist serves as a key liaison between healthcare providers, patients, and insurance companies. They are responsible for obtaining prior authorizations for procedures, specialist visits, or treatments by coordinating with physicians’ offices and verifying insurance eligibility and coverage details. This role requires frequent communication with medical staff to gather necessary clinical information and with insurance representatives to ensure all documentation meets requirements. Effective collaboration and attention to detail are essential, as timely approvals directly impact patient care and workflow efficiency.
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Referral Authorization jobs near you
Referral Authorization Coordinator

Referral Authorization Coordinator

Family Allergy & Asthma

Louisville, KY • Hybrid

$16.50 - $21.50/hr

Other

Posted 12 days ago

Job description

Description

Job Title: Referral Authorization Coordinator

Location: Landis Lakes office -Hybrid

Reports To: Patient Engagement Manager

Department: Scheduling and Registration

Travel Required: No

Summary of Duties and Responsibilities:


 Review and verify patients' insurance eligibility and coverage.

  • Coordinate completion of prior authorizations/referrals and submit required medical documentation to insurance companies.
  • Ensure all insurance referral/authorization information is documented in the patient's account ahead of their scheduled appointment.
  • Apply knowledge of medical terminology, ICD-10, and CPT coding to support accuracy in our authorization/referral process.
  • Respond to internal and external inquiries regarding authorizations/referrals.
  • Maintain detailed records in Electronic Medical Records (EMR) system.


Education, Prior Work Experience, Special Skill and Knowledge Requirements:

-High School Diploma or GED, required

-3-year medical billing office experience, required

-Computer experience, including Microsoft Excel

-Ability to multi-task and work in a fast-paced environment

-Strong analytical and problem-solving skills

-Knowledge of insurance carrier guidelines, deductibles, copays, and coinsurance

-Knowledge of medical terminology and coding (ICD-10 and CPT)

-Availity clearinghouse experience preferred

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