Referral & Prior Authorization Specialist — Remote (eClinicalWorks)

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: TYPE OF WORK

Any

: SALARY

$5/hour

: HOURS PER WEEK

40

: DATE UPDATED

Sep 9, 2026

JOB OVERVIEW

Maverick Medical is a solo-physician primary care practice in California. We're hiring a remote Referral & Prior Authorization Specialist to own the entire referral lifecycle — not just place referrals, but close them. This is a phone-forward role. If you like clean handoffs, persistent follow-up, and closing loops nobody else will chase, you'll do well here.

**What you'll do**

- Place and track all outgoing referrals in eClinicalWorks
- Obtain prior authorizations from Medicare Advantage, Medi-Cal, IPA, and commercial plans; track pending, appeal denials, and re-authorize before expiration
- Call specialist offices to confirm receipt, confirm the patient was actually scheduled, and chase the consult note back
- Scan and attach returned consult notes to the chart, then close the referral in eCW
- Call pharmacies on medication issues: rejections, PA requirements, refill problems, and prior auth submissions through CoverMyMeds
- Build and maintain our specialist roster — which offices accept each plan, current fax numbers, portal logins, scheduling turnaround, and who reliably returns consult notes. Flag specialists we should stop sending patients to
- Report weekly on open referrals, pending authorizations, and anything stuck

**Requirements**

- 2+ years of referrals and/or prior authorizations in a US medical practice
- Hands-on eClinicalWorks experience — tell us how long and which modules
- Working knowledge of Medicare Advantage, Medi-Cal, and IPA authorization rules
- Excellent spoken English; you will be on the phone with US offices, health plans, and pharmacies all day
- Reliable high-speed internet, quiet workspace, headset, and a private area for HIPAA compliance
- Available during Pacific Time business hours
- Willing to sign a Business Associate Agreement

**First 30 days**

Deliver a complete specialist roster in a shared spreadsheet, and clear the existing backlog of open referrals older than 30 days.

**How to apply — required**

Applications without the video will not be reviewed.

Submit a 60–90 second unlisted video (YouTube, Loom, or Google Drive link) of yourself speaking English, covering:

1. Your name and where you're located
2. Your referral and prior authorization experience, and your eCW experience specifically
3. Walk us through this: a patient needs a cardiology referral, the plan requires prior auth, and the specialist's office hasn't responded to two faxes. What are your next steps?

Include your resume and your hourly rate expectation.

SKILL REQUIREMENT

Phone Support Systems Administration Data analysis

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Referral & Prior Authorization Specialist — Remote (eClinicalWorks)

Please login or register as jobseeker to apply for this job.

TYPE OF WORK

SALARY

HOURS PER WEEK

DATE UPDATED

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