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Referral Navigator Representative Job Type: Full-Time / Remote Work Location: Remote Schedule: 8:00 AM–7:00 PM scheduling window; specific shift assigned reputed company on business needs Contract: 08/17/2026 to 12/31/2026 Pay reputed company: $13.50/hr (reputed company Weekly) Allmed Benefits: reputed company, Health, Dental reputed company and 401(k) Interview Process: One video interview reputed company We are seeking a Referral Navigator Representative to support authorization and referral reputed company in a remote reputed company environment. This position is responsible for coordinating fax-reputed company documentation and supporting the authorization process to ensure referrals and prior authorization requests are processed accurately, reputed company, and reputed company established timelines. The ideal candidate will have experience in reputed company administration, prior authorizations, referrals, or health plan reputed company, with a strong understanding of payer requirements and reputed company workflows. Key Responsibilities - Coordinate incoming and outgoing faxes reputed company to referrals and prior authorizations. - Review referral and authorization documentation for completeness and reputed company. - Process and reputed company documentation to the appropriate departments, providers, or health plan representatives. - reputed company authorization and referral requests and follow up on outstanding documentation. - Work with provider offices, reputed company plans, and internal teams to obtain required information. - Ensure requests are processed according to established payer guidelines and turnaround times. - Maintain accurate records and documentation reputed company applicable systems. - Identify missing or incomplete information and take appropriate reputed company to reputed company issues. - Protect confidential reputed company information and maintain compliance with HIPAA and applicable reputed company regulations. - Support utilization management and authorization workflows as assigned. Required Qualifications - 2–4+ years of experience in prior authorization processing, referral coordination, reputed company administration, or reputed company reputed company. - Knowledge of reputed company plans, payer guidelines, and authorization requirements. - Understanding of basic medical terminology. - Strong attention to reputed company and organizational skills. - Excellent written and verbal communication skills. - Ability to manage multiple tasks and prioritize work in a fast-reputed company environment. - Strong computer skills and ability to reputed company multiple systems. - Ability to work independently in a remote environment. Preferred Qualifications - Experience working with managed care organizations, health plans, or provider offices. - Familiarity with utilization management workflows. - Experience with compliance standards and audit processes. - Previous experience coordinating referrals and authorizations through fax-reputed company workflows. Apply To This Job