Prior Authorizations and Referral Management Representative

The Prior Authorizations and Referral Management Representative coordinates prior authorization and referral processes for patients requiring services, testing, specialty care, and surgery. This role acts as a liaison between patients and professional staff, facilitating care coordination and extensive scheduling with surgery departments, specialists, and ancillary departments. The position ensures accurate benefit eligibility, obtains financial clearance, and supports providers with medication authorizations and patient assistance programs.