United Healthcare (UHC) Referral Specialist in United States at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a United Healthcare (UHC) Referral Specialist based in the United States.

This role plays a critical part in ensuring that patient referrals are properly authorized and processed through insurance systems, enabling timely access to specialty care. You will work at the intersection of healthcare administration and insurance coordination, managing referral submissions, prior authorizations, and portal-based documentation with a high level of accuracy. The position requires strong attention to detail and comfort navigating structured systems, particularly insurance platforms and healthcare databases. You will serve as a key operational link between providers, scheduling teams, and insurance systems to ensure compliance and efficiency. By securing authorization approvals and monitoring their status, you help prevent delays in patient care. This is a remote, process-driven healthcare operations role ideal for someone who thrives in detail-oriented, high-volume environments.

• Access and manage the UnitedHealthcare provider portal daily to submit and track referral authorization requests.
• Enter and verify patient, provider, and diagnostic information with a high degree of accuracy across healthcare systems.
• Obtain and manage authorization numbers required for specialist appointments and ensure documentation is complete.
• Verify provider credentials, including National Provider Identifiers (NPIs), and ensure compliance with insurance requirements.
• Monitor authorization status updates and maintain accurate records within internal tracking systems.
• Utilize internal coding resources, reference guides, and insurance tools to complete referral submissions correctly.
• Collaborate with scheduling and care coordination teams to ensure smooth workflow integration and patient access to care.

• 1–2 years of experience in healthcare administration, insurance portal management, prior authorizations, medical billing support, or referral coordination.
• Experience navigating insurance provider systems and healthcare portals, ideally including UnitedHealthcare or similar platforms.
• Strong data entry skills with exceptional attention to accuracy and detail in high-volume environments.
• Excellent organizational and time management abilities with the capacity to manage multiple tasks simultaneously.
• Strong computer proficiency and ability to quickly learn new systems and workflows.
• Ability to work independently in a structured remote environment with minimal supervision.
• Familiarity with prior authorization processes, NPIs, or insurance eligibility workflows is a plus.

• Fully remote work environment with consistent full-time hours.
• Paid training and comprehensive onboarding.
• Competitive hourly compensation ($16–$17/hour).
• Career advancement opportunities within healthcare operations and insurance coordination.
• Collaborative and supportive team culture.
• Opportunity to directly improve patient access to specialty care through efficient authorization processing.
• Stable, long-term role in healthcare administration with growth potential.