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Referral Authorization Jobs (NOW HIRING)

HOPCo

Referral and Authorization Coordinator

Phoenix, AZ · On-site

$17.25 - $22.50/hr

Must have Healthcare experience with Managed Care Insurance, requesting Referrals, Authorizations for Insurance and verifying Insurance benefits. * In-depth knowledge on insurance plan requirements ...

SSTAR

Referral Coordinator

Fall River, MA · On-site

$18 - $22/hr

The Referral & Authorization Specialist is responsible for processing patient insurance referrals, prior authorizations relating to patient care which includes knowledge of insurance companies.

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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 9, 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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What are the most commonly searched types of Referral Authorization jobs? The most popular types of Referral Authorization jobs are:
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Referral Authorization jobs near you
Referral and Authorization Coordinator

Referral and Authorization Coordinator

HOPCo

Phoenix, AZ • On-site

$17.25 - $22.50/hr

Full-time

Medical, Retirement

Posted 14 days ago

Job description

Benefits:
  • Salary $18-20
  • Supporting CISH ( Core Institute Specialty Hospital) and Elevation Surgery centers
  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications:
  • Must have Healthcare experience with Managed Care Insurance, requesting Referrals, Authorizations for Insurance and verifying Insurance benefits.
  • In-depth knowledge on insurance plan requirements for Medicaid and commercial plans.
  • Minimum two to three years of experience in a healthcare environment in and prior auth experience

Essential Functions
  • Verifies and updates patient registration information in the practice management system.
  • Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services
  • Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility.
  • Creates appropriate referrals to attach to pending visits.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
  • Completes chart prepping tasks daily to ensure smooth check-in process for the patient and clinic.
  • Researches all information needed to complete registration process including obtaining information from providers, ancillary services staff and patients.
  • Fax referral form to providers that do not require any records to be sent. Be able to process 75-80 referrals on a daily basis. For primary specialty office visits, fax referral/authorization form to PCPs and insurance companies in a timely fashion.
  • Reviews and notifies front office staff of outstanding patient balances.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
  • Respond to In-house provider and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination or follow-up status.
  • Identifies and communicates trends and/or potential issues to management team.
  • Index referrals to patient accounts for existing patients.
  • Create new patient accounts for non-established patients to index referrals.
  • The job holder must demonstrate current competencies for job position.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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