<p>We’re looking for a <strong>Medical Referrals Specialist</strong> to join our team in a remote capacity. This position is remote but requires candidates to be local to ensure occasional in-person collaboration when necessary. As a Medical Referrals Specialist, you will play a vital role in facilitating patient care by managing insurance referrals and authorizations accurately and efficiently. In collaboration with healthcare providers, patients, and insurance companies, you’ll ensure compliance with healthcare regulations while coordinating approvals for medical services. <strong>Training for the position is 4 weeks On-Site.</strong></p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8:30am - 4:30 pm EST</p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Process and monitor insurance referrals and prior authorization requests for medical services.</li><li>Confirm insurance coverage and benefits for recommended services.</li><li>Coordinate with healthcare providers to collect required clinical documentation.</li><li>Submit referrals and authorization applications to insurance carriers using phone, fax, or electronic systems.</li><li>Follow up with insurance companies to check the status of pending referrals and authorizations.</li><li>Inform providers, patients, and relevant parties about approval outcomes, denials, or additional documentation requirements.</li><li>Keep detailed and up-to-date records in electronic medical records (EMR) platforms.</li><li>Support in addressing and resolving insurance-related challenges affecting referrals or authorizations.</li><li>Adhere to HIPAA regulations and internal privacy and security policies.</li><li>Work closely with billing, front office, and clinical teams to enhance workflow efficiency.</li></ul><p><br></p><p><br></p>

<ul><li>High school diploma or equivalent is required; an Associate’s degree or relevant medical office certification is preferred.</li><li>A minimum of 1–2 years of experience in a medical office or insurance setting</li><li>Knowledge of medical terminology, referral/authorization processes, and insurance guidelines.</li><li>Proficiency with EMR systems and Microsoft Office Suite </li><li>Excellent communication, organizational, and time-management skills.</li><li>Ability to work independently and in a team-oriented environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul><p><br></p>

<h3 class="rh-display-3--rich-text">TalentMatch^®</h3> <p>Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.</p> <p>Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more.</p> <p>All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information.</p> <p>© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to <a href="https://www.roberthalf.com/us/en/terms">Robert Half’s Terms of Use</a>.</p>