Patient Authorizations And Referrals Specialist II

Job Description Summary

We are seeking a Prior Authorizations and Referrals Specialist II to join our Referrals Team. In this role, you will manage prior authorization and referral workflows, ensuring timely approvals, accurate documentation, and seamless patient care transitions. You will apply knowledge of payer requirements and clinical systems to support operational processes, resolve routine issues, and collaborate with providers, payers, and internal teams to ensure efficient patient access to care.

If you are looking for an opportunity to grow your career and make an impact on a supportive and team-focused environment, we would love to hear from you.

How will you make an impact & Requirements

What You'll Do

• Process and track prior authorizations and referral requests from intake through resolution, verifying payer requirements, clinical documentation, and coverage for compliance.
• Manage moderately non-routine situations - including complex authorizations, urgent requests, and appeals - applying judgment within established payer and organizational guidelines.
• Communicate directly with patients, providers, and payers to obtain missing information, relay authorization decisions, and resolve routine discrepancies.
• Maintain accurate authorization and referral records in the EHR and authorization management platforms, ensuring data integrity and timely status updates.
• Identify recurring processing challenges and communicate patterns to supervisors to support workflow improvements.
• Provide guidance to entry-level specialists on standard authorization and referral procedures.

What We're Looking For

• High school diploma required; associate degree preferred.
• 1-3 years of prior authorization, referral coordination, or managed care experience.
• Working knowledge of insurance products, payer authorization requirements, and EHR systems.
• Ability to manage multiple open cases simultaneously with accuracy under moderate supervision.
• Strong written and verbal communication skills for patient, provider, and payer interactions.
• Experience with authorization management platforms preferred.

About Millennium Physician Group

Founded in 2008, Millennium Physician Group has grown into one of Florida's largest comprehensive primary care organizations, with more than 900 healthcare providers serving communities across the state. Headquartered in Fort Myers, Millennium offers an integrated approach to care through its network of primary care offices, imaging centers, lab services, wellness programs, and specialty patient resources.

Guided by a mission to connect the best doctors, service, and quality, Millennium is committed to delivering exceptional patient care while creating a supportive environment where team members can make a meaningful impact every day.

What We Offer

• Health, Dental, and Vision Insurance
• 401(K) Retirement Plan with Matching
• Employer-Paid Life Insurance, Short & Long-Term Disability
• Paid Time Off, Floating Holidays, and Paid Major Holidays
• Employee Assistance Program (EAP)

How to Apply

ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you!

Compensation Range:

$19.00

to

$28.50

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.