Referral Support Specialist

Job Description

Job Description

The Referral Support Specialist is responsible for overseeing the lifecycle of specialty medication referrals. Acting as both a process monitor and escalation point, this role ensures accuracy, efficiency, and timely resolution of issues. Specialists will align to one of two team focuses- client-facing or technology-facing -after hire. Both require strong written communication, problem-solving skills, and comfort navigating multiple systems.

Core Responsibilities :

Monitor referral workflows (40%)

Track onboarding, eligibility updates, and therapy adherence.

Proactively identify delays, exceptions, or red flags in the referral lifecycle.

Referral management (20%)

Manually reassign referrals when automatic routing fails.

Notify pharmacies, prescribers, and internal teams of changes.

System analysis & issue tracking (20%)

Identify recurring routing / logic issues and log tickets in Jira.

Collaborate with IT and operations to improve system efficiency.

Escalation handling (20%)

Serve as Tier 2 support for urgent client or pharmacy concerns.

Research cases, resolve process bottlenecks, and communicate updates to clients.

Background Requirements :

• Education : High School diploma (required)
• Experience : 1-2+ years in referral coordination, pharmacy operations, PBM, specialty pharmacy, hub services, or healthcare services. Experience with prior authorizations, patient care coordination, or specialty pharmacy workflows highly preferred.

Schedule :

No weekends

Must be available to work on New Year's Day (1 / 1)

Location : Pittsburgh, PA (Strip District)

Pay : $22 / hr

Contract Type : Contract-to-hire

For California Applicants :

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?