[Hiring] United Healthcare (UHC) Referral Specialist @Classet

Role Description

Chronic Care Staffing is seeking a detail-oriented United Healthcare (UHC) Referral Specialist to support our referral and authorization operations. This role serves as a critical link between patient referrals and insurance approval processes, ensuring that specialist appointments receive the proper authorizations and documentation required for successful scheduling. The ideal candidate has experience working with insurance portals, prior authorizations, medical data entry, or healthcare administration and thrives in a structured, accuracy-focused environment.

Responsibilities

• Access and navigate the United Healthcare provider portal on a daily basis.
• Submit and manage referral authorization requests.
• Enter patient diagnoses, provider information, and referral details with a high degree of accuracy.
• Verify provider and facility information, including National Provider Identifiers (NPIs).
• Utilize internal reference guides, code lists, and portal resources to complete authorization requests.
• Secure authorization numbers required for specialist appointments.
• Monitor authorization status and update records accordingly.
• Ensure referrals meet insurance requirements and compliance standards.
• Collaborate with scheduling and follow-up teams to support patient care workflows.
• Assist with additional referral coordination tasks as workload demands.

Qualifications

• 1–2 years of experience in one or more of the following:
  • Health insurance portal management
  • Prior authorizations
  • Medical billing support
  • Healthcare data entry
  • Referral coordination
• Experience navigating insurance provider websites and online healthcare portals.
• Strong data entry skills with exceptional attention to detail.
• Ability to accurately process large volumes of information.
• Excellent organizational and time-management skills.
• Ability to work independently in a remote environment.
• Strong computer proficiency and comfort learning new systems.

Requirements

• Previous experience using United Healthcare (UHC) or UHC Link portals.
• Knowledge of prior authorization workflows.
• Familiarity with provider credentialing information and NPIs.
• Experience working in medical offices, healthcare administration, or referral management.
• Understanding of insurance eligibility and referral requirements.

Benefits

• Fully remote work environment.
• Consistent full-time schedule.
• Paid training and onboarding.
• Career growth opportunities within healthcare operations.
• Supportive and collaborative team culture.
• Opportunity to directly impact patient access to care.
• Stable healthcare administration role with long-term growth potential.