Referral Authorization Specialist - Full Time with Benefits
Frederick HealthFrederick, Maryland, United States
Posted September 15, 2025
33740 - 45320 USD year
Full Time
About the Company
Frederick Health is a comprehensive healthcare system serving Frederick County, MD, that includes a historic hospital, a multi‑specialty medical group, employer solutions, home care, and hospice services. The medical group brings together more than 100 providers across 17 specialties and operates multiple ambulatory sites, a freestanding cancer institute, two urgent‑care centers, and the Frederick Health Village. With a workforce of over 3,000 employees, the organization delivers a full spectrum of medical and wellness services designed to improve the health of every community member. Its distinctive blend of long‑standing local presence, integrated care delivery, and a mission‑driven focus on community well‑being sets it apart in the regional healthcare market.
Job Description
Supports and is responsible for incorporating into job performance the Frederick Health mission, vision, core values and customer service philosophy. Responsible for patient insurance carrier referrals, insurance authorizations for in-house procedures/services, insurance eligibility, benefits, pre-determinations and price estimations.
Requirements
- High school diploma or GED required
- Some college coursework preferred related to Business/Health Sciences
- A minimum of two years healthcare experience in revenue cycle billing and collections
- A minimum of one year experience in obtaining authorization and pretermination
- Understanding of medical terminology, CPT and ICD-10 codes
- Extensive knowledge of health insurance plans including, Medicare, Medicaid, HMO’s and PPO’s
Benefits
- Health, Dental and Vision insurance
- Life insurance
- Short-Term Income Replacement
- Long-Term Disability
- Paid Time Off program
- 403B retirement plan
- Free financial planning sessions
- Educational assistance program
- Employee Assistance Program