Hiring: Referral Specialist Company: TriWest Healthcare Alliance Location: Phoenix, AZ Job Posted Time: 2026-09-03 14:41:04 Employment Type: Contract / Remote Target Skills & Keywords : CPT, HIPAA, ICD-10, Microsoft Office About the job Experience: •Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation •1 + year experience in health care operations performing data entry or customer service Required Skills: •Assesses tasks for authorization/referral request to ensure accurate entry into the medical management system. •Identifies potential discrepancies in the medical management system to assure quality compliance. •Consistently meets department productivity and performance metrics. •Follow HIPAA compliance and TriWest confidentially guidelines. •Refers beneficiaries to network providers. •Resolves issues to complete care request. •Reads and comprehends diagnosis, procedures and requested service on incoming care requests. •Assists with resolving data quality issues by identifying, documenting, and communicating quality issues Qualifications: •Referral and authorization processing experience •Knowledge of medical terminology obtained through medical assistant certification or experience interpreting and applying ICD and CPT codes •High School Diploma or G.E.D. Compensation: •$38,000 - $45,000 / year •Medical, Dental and Vision Coverage Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!