Authorization & Referral Specialist; Per Diem

Job Category: Regular Employees

Requisition Number: REFER
001202

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• Posted:
  January 15, 2026
• Part-Time
• On-site

Showing 1 location

Woodsville, NH 03785, USA

Support patient care behind the scenes — when it matters most.

Cottage Hospital is seeking a Per Diem Authorization & Referral Specialist to support our Patient Access / Admitting team on an as‑needed basis. This role is ideal for someone who is detail‑oriented, reliable, and comfortable navigating insurance authorizations and referrals in a fast‑paced healthcare environment.

In this position, your work directly supports providers, schedulers, and patients by helping ensure services are authorized accurately and efficiently. You’ll be part of a collaborative team that values communication, accountability, and patient‑centered care.

Title: Authorization & Referral Specialist

Status: Per Diem (PRN)

Work Location: Onsite – Cottage Hospital

• PRN coverage as needed
• Typically 4-hour shifts
• No guaranteed hours; schedule based on department needs

This position is not eligible for remote work.

The Authorization & Referral Specialist is a non‑licensed role responsible for obtaining insurance authorizations and processing referrals for services ordered by providers at Cottage Hospital and Rowe Health Center Specialty.

Services may include (but are not limited to):

• Radiology
• Surgical services
• Infusion therapy
• Cardiac rehab
• Procedure room services
• VA emergency admissions
• Inpatient medical‑surgical admissions

This role works primarily through electronic systems, with phone and fax used as secondary methods. Strong attention to detail, organization, and the ability to manage competing priorities are essential, along with strict adherence to HIPAA and patient confidentiality standards.

• Receive, monitor, and process authorization and referral requests through the EHR, phone, and secure fax
• Obtain prior authorizations through payer portals or by phone and follow up on pending requests
• Prioritize incoming work to support timely patient scheduling and care
• Submit required clinical documentation and medical records to support authorization approvals
• Communicate effectively with insurance companies, provider offices, and internal hospital departments
• Perform insurance eligibility checks at the time referrals are created
• Submit re‑authorizations for therapy and ongoing services as needed
• Assist with documentation for medical necessity and support appeals when appropriate
• Ensure authorizations and referrals are complete and accurate prior to final submission
• Perform additional administrative tasks as assigned

• HIPAA compliance and commitment to maintaining patient confidentiality
• High school diploma or equivalent (GED) required

• Ability to adapt to changing needs in on‑site vs. remote schedule
• Prior experience in medical billing, insurance verification, or healthcare authorizations preferred

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.