> Markdown version of [/jobs/ext/1409661-referrals-specialist-i-full-time-remote](https://www.wearedevelopers.com/jobs/ext/1409661-referrals-specialist-i-full-time-remote). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Referrals Specialist I #Full Time #Remote - **Company:** 61st Street Service Corporation - **Location:** New York, NY, United States (Remote available) - **Experience:** Starter - **Salary:** $49,005.0 - $60,008.0 - **Contract:** Permanent contract - **Skills:** Microsoft Word, Microsoft Excel, Microsoft Outlook, Practice Management Software, Software Tools - **Published:** July 23, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=08f299b2892c3ff2 ## About the Role * High school graduate or GED certificate is required. * A minimum of 6 months' experience in a physician's billing or third payer environment. * Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations. * Candidate must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. * Must demonstrate effective communication skills both verbally and written. * Ability to multi-task, prioritize, document, and manage time effectively. * Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) * Functional proficiency and comprehension of medical terminology. * Ability to work independently and collaborate in teams. * The ideal candidate is a motivated individual with a positive attitude and exceptional work ethic. * Experience in Epic and or other electronic billing systems is preferred. * Knowledge of medical terminology, diagnosis and procedure coding is preferred. * Previous experience in an academic healthcare setting is preferred. ## Description The Referrals Specialist I is responsible for verifying insurance policy benefit information, and securing payer required referrals. This position is responsible for obtaining accurate and timely insurance referrals for professional services prior to the patient's visit. This position may also be required to obtain prior authorizations for scheduled services, as needed., * Verifies insurance coverage via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone). * Upon verification of patient's insurance coverage, update changes in the billing system. * Confirms provider's participation status with patient's insurance plan/network. * Determines payer referral and authorization requirements for professional services. * Contacts patient and PCP to secure payer required referral for planned services. * Documents referral in practice management system. * Research system notes to obtain missing or corrected insurance or demographic information. * Initiates authorization and submits clinical documentation as requested by insurance companies. * Manage faxes, emails, and phone calls in a timely manner. Responds to voicemails and emails within same business day of receipt. * Serves as primary liaison between faculty practice/department, insurance companies and patient to verify eligibility and coordination of benefits and resolve any insurance complications. * Performs other job duties as assigned. ## Related Videos - [Developing the Rich Text Editor for DeepL.com](https://www.wearedevelopers.com/videos/1172-developing-the-rich-text-editor-for-deepl-com) - [ Secure Code Superstars: Empowering Developers and Surpassing Security Challenges Together](https://www.wearedevelopers.com/videos/422-secure-code-superstars-empowering-developers-and-surpassing-security-challenges-together) - [In-depth .NET Azure Functions: Isolated mode, performance and durable AI agents](https://www.wearedevelopers.com/videos/100207-in-depth-net-azure-functions-isolated-mode-performance-and-durable-ai-agents) - [Old tools, new tricks](https://www.wearedevelopers.com/videos/1916-old-tools-new-tricks) - [From Syntax to Singularity: AI’s Impact on Developer Roles](https://www.wearedevelopers.com/videos/900-from-syntax-to-singularity-ai-s-impact-on-developer-roles) - [Software stack under and over the hood of the fastest accelerating car in the world](https://www.wearedevelopers.com/videos/221-software-stack-under-and-over-the-hood-of-the-fastest-accelerating-car-in-the-world) ## Related Articles - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Best Job Boards for Remote Work for Developers](https://www.wearedevelopers.com/magazine/290-best-job-boards-for-remote-work-for-developers) - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Mastering Remote Work: Tips for Developers](https://www.wearedevelopers.com/magazine/558-mastering-remote-work-tips-for-developers) - [Remote Work: Best Practices for Developers](https://www.wearedevelopers.com/magazine/315-remote-work-best-practices-for-developers)