Referrals Specialist

The Referrals Specialist promotes timely and appropriate referrals for health care services by assisting clinical staff in processing prior authorization requests for ambulatory services and elective inpatient admissions. The role involves ensuring compliance with state and federal regulations, managing internal operations, and providing customer service to external and internal stakeholders regarding access to health care services. This position requires maintaining confidentiality, facilitating timely referral turnarounds, and contributing to team efforts through policy development and quality improvement initiatives.