Referral Specialist II

. Provide support to a clinical team to facilitate the administrative components of clinical referrals .

Posted 9/25/2026full-timeUnited StatesJuniorWebsite

Key responsibilities & impact

Provide support to a clinical team to facilitate the administrative components of clinical referrals
Act as a first-level subject matter expert beyond intake calls, including production-oriented work, physician assisting, and special projects
Serve as a liaison between hospitals, health plans, physicians, patients, vendors, and other referral sources
Review complex referrals for completeness and follow up for additional information
Assign referrals to staff as appropriate
Verify insurance coverage and obtain authorizations from insurance plans when needed
Contact physician offices to obtain demographic information or related data
Enter referrals and document communications, actions, and other data in the system
Handle calls, texts, facsimiles, and electronic queues while taking notes and speaking with customers
Perform other duties as assigned

What you’ll need

HS diploma or GED
Minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background
Knowledge of medical terminology and plan specific guidelines
ICD-9 and CPT coding
Ability to multi-task while handling calls, texts, facsimiles, and electronic queues
Proficiency maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
Strong verbal and written communication skills
Attention to detail, critical thinking, and problem-solving skills
Empathy and persistence to resolve caller issues completely
Comfort and proficiency with digital tools and platforms
Ability to work from the office as necessary
Ability to work a structured schedule with occasional overtime or flexibility based on business needs

Comp & perks