Job Description

Position Summary

The Referral Coordinator / Authorization Specialist is responsible for managing referral and prior authorization processes to ensure timely access to healthcare services. This role serves as a liaison between patients, providers, specialists, and insurance carriers while maintaining a high level of customer service and accuracy. The ideal candidate will have extensive experience with referral coordination, insurance authorizations, patient scheduling, and EMR systems, along with strong knowledge of commercial, Medicare, and Medi-Cal health plans.

Key Responsibilities

• Receive, review, and process referral and authorization requests accurately and efficiently, ensuring all required documentation is complete.
• Coordinate and schedule referrals, specialty appointments, diagnostic testing, Durable Medical Equipment (DME), and other support services as ordered by providers.
• Obtain prior authorizations from insurance carriers through phone, fax, email, online portals, and written correspondence.
• Monitor and follow up on pending authorizations and missing documentation to ensure timely approval and patient care continuity.
• Verify insurance eligibility, benefits, and coverage requirements while adhering to payer-specific guidelines and regulations.
• Utilize EPIC and other EMR systems to access patient information, manage referrals, track authorization status, and schedule services.
• Provide patients with timely updates regarding referral and authorization status and address questions or concerns professionally.
• Collaborate with providers, specialists, insurance representatives, and internal departments to coordinate patient care effectively.
• Review referral work queues and logs to ensure referrals are completed and closed appropriately.
• Document appointment details, authorization information, and referral outcomes accurately within electronic medical records.
• Confirm patient attendance at scheduled appointments and obtain consultation notes, reports, and test results from specialists or facilities as needed.
• Maintain confidentiality of patient information and comply with all organizational policies and healthcare regulations.
• Adapt to changing workflows, policies, and organizational processes while maintaining productivity and service excellence.
• Support coverage at nearby clinic locations as needed.

Required Qualifications

• High School Diploma or GED required.
• Bilingual English/Spanish with full fluency in both spoken and written communication required.
• Minimum of 3-5 years of healthcare experience supporting both front-office and back-office operations.
• Experience with referral coordination, prior authorizations, insurance verification, patient scheduling, and patient registration.
• Strong knowledge of commercial insurance, Medicare, Medi-Cal, eligibility requirements, and payer guidelines.
• Experience working with EPIC and/or other Electronic Medical Record (EMR) systems.
• Proficiency with Microsoft Office and healthcare scheduling systems.
• Typing speed of at least 35 WPM.
• Strong customer service, communication, and problem-solving skills.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced healthcare environment.

Preferred Qualifications

• Medical Assistant Certificate, Coding Certificate, or Data Processing Certificate.
• Previous experience in managed care, specialty referrals, or utilization management.
• Experience working in a call center or high-volume patient service environment.

Schedule

• Monday through Friday, 8:00 AM to 5:00 PM

Experience Level

• Intermediate Level

Core Skills

• Referral Intake
• Prior Authorizations
• Insurance Verification
• Patient Scheduling
• Appointment Coordination
• EPIC
• EMR/EHR Systems
• Customer Service
• Call Center Support
• Bilingual Spanish/English Communication
• Healthcare Administration
• Care Coordination

Job Type & Location

This is a Contract to Hire position based out of San Ysidro, CA 92173.

Pay and Benefits

The pay range for this position is $25.00 - $28.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in San Ysidro,CA 92173.

Application Deadline

This position is anticipated to close on Sep 30, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.