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Referral Specialist
ClassetReferral Specialist at Chronic Care Staffing ensuring patient referrals are properly authorized and managed remotely. Navigating insurance portals and collaborating within teams to optimize patient care.
About the role
Key responsibilities & impact- Access and navigate the United Healthcare provider portal on a daily basis.
- Submit and manage referral authorization requests.
- Enter patient diagnoses, provider information, and referral details with a high degree of accuracy.
- Verify provider and facility information, including National Provider Identifiers (NPIs).
- Utilize internal reference guides, code lists, and portal resources to complete authorization requests.
- Secure authorization numbers required for specialist appointments.
- Monitor authorization status and update records accordingly.
- Ensure referrals meet insurance requirements and compliance standards.
- Collaborate with scheduling and follow-up teams to support patient care workflows.
- Assist with additional referral coordination tasks as workload demands.
Requirements
What you’ll need- 1–2 years of experience in one or more of the following:
- - Health insurance portal management
- - Prior authorizations
- - Medical billing support
- - Healthcare data entry
- - Referral coordination
- Experience navigating insurance provider websites and online healthcare portals.
- Strong data entry skills with exceptional attention to detail.
- Ability to accurately process large volumes of information.
- Excellent organizational and time-management skills.
- Ability to work independently in a remote environment.
- Strong computer proficiency and comfort learning new systems.
- Previous experience using United Healthcare (UHC) or UHC Link portals (Nice to Have).
- Knowledge of prior authorization workflows (Nice to Have).
- Familiarity with provider credentialing information and NPIs (Nice to Have).
- Experience working in medical offices, healthcare administration, or referral management (Nice to Have).
- Understanding of insurance eligibility and referral requirements (Nice to Have).
Benefits
Comp & perks- Fully remote work environment
- Consistent full-time schedule
- Paid training and onboarding
- Career growth opportunities within healthcare operations
- Supportive and collaborative team culture
- Opportunity to directly impact patient access to care
- Stable healthcare administration role with long-term growth potential
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
health insurance portal managementprior authorizationsmedical billing supporthealthcare data entryreferral coordinationdata entryinsurance eligibilityreferral requirementsprovider credentialingNational Provider Identifiers
Soft Skills
attention to detailorganizational skillstime-management skillsindependent workcollaboration