Talent.com
Referral Specialist
Referral SpecialistMedix • Pittsburgh, PA, US
No longer accepting applications
Referral Specialist

Referral Specialist

Medix • Pittsburgh, PA, US
2 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Referral Support Specialist

Location : Pittsburgh, PA

Employment Type : Contract-to-Hire (CTH)

Schedule : Monday - Friday 8AM-5PM or 11AM-7PM; 40 hrs / week

Must be available on 1 / 1 (New Year's Day) for client program launch support

Pay Rate : $22.00-$23.50 / hr

Role Overview The Referral Support Specialist oversees and manages the daily processing of patient referrals, ensuring accuracy, timely onboarding, and smooth communication between health plans, pharmacies, and internal teams. This role serves as both a problem-solver and escalation point , identifying issues in workflows or systems and ensuring that patients receive their specialty medications without delays.

Core Responsibilities

  • Monitor referral queues and dashboards to ensure timely processing and pharmacy onboarding.
  • Track the referral lifecycle to maintain continuity of care and update patient eligibility or therapy changes.
  • Investigate and reassign referrals when routing errors or delays occur.
  • Research and resolve issues using multiple internal systems and Jira.
  • Identify and report recurring routing or system deficiencies to improve efficiency.
  • Manage client escalations professionally and provide timely status updates or resolutions.
  • Communicate with prescribers, pharmacies, and internal teams to ensure follow-up and issue resolution.
  • Maintain organized documentation and accurate case records.

A Day in the Life

  • Monitor and Track Referrals : Proactively identify delays or errors and coordinate next steps.
  • Reroute or Troubleshoot Cases : Manually reassign cases if a pharmacy can't fill a prescription.
  • Identify System Gaps : Spot patterns or bugs in routing logic and report them for correction.
  • Handle Escalations : Serve as the point person for urgent client or patient concerns.
  • Collaborate : Work cross-functionally to ensure the patient receives their medication without interruption.
  • Qualifications Required

  • High school diploma or equivalent
  • 1-2+ years of experience in referral coordination within pharmacy operations or healthcare services
  • Strong written communication and organizational skills
  • Proficiency with multiple computer systems and managing competing priorities
  • Experience with Jira or similar issue-tracking tools preferred
  • Background in PBM, specialty pharmacy, or healthcare technology operations preferred
  • Prior experience in prior authorization or patient care coordination preferred
  • 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?

    Create a job alert for this search

    Referral Specialist • Pittsburgh, PA, US

    Related jobs
    Certified Recovery Specialist 1 - Community Based

    Certified Recovery Specialist 1 - Community Based

    Gateway Rehabilitation Center • Coraopolis, PA, US
    Full-time
    Are you in recovery and have the desire to help others step into a life of recovery?.Gateway Rehab Center (GRC) has a dynamic opportunity for a Community-based Certified Recovery Specialist (CRS).T...Show more
    Last updated: 30+ days ago • Promoted
    Travel CT Technologist - $2,826 per week

    Travel CT Technologist - $2,826 per week

    American Medical Staffing • Uniontown, PA, United States
    Full-time
    American Medical Staffing is seeking a travel CT Technologist for a travel job in Uniontown, Pennsylvania.Job Description & Requirements. We’re living in the new normal.Lives and careers look differ...Show more
    Last updated: 2 days ago • Promoted
    Billing Specialist

    Billing Specialist

    Moody and Associates, Inc. • Washington, PA, US
    Full-time
    Responsible for the organization and completion of all aspects of client billing and associated tasks for the Washington, PA, Erie, PA, and Meadville, PA offices. This individual will be the liaison...Show more
    Last updated: 30+ days ago • Promoted
    Travel - CT Technologist

    Travel - CT Technologist

    Titan Medical Group • Cranberry Township, PA, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 6 hours ago • Promoted • New!
    Credit and Collections Specialist

    Credit and Collections Specialist

    PGT Trucking, Inc. • Aliquippa, PA, US
    Full-time
    The Credit and Collections Specialist is responsible for managing the day-to-day collection efforts on all outstanding accounts receivable from the customers of PGT Holdings.The individual is respo...Show more
    Last updated: 7 hours ago • Promoted • New!
    Phlebotomist - (Health Screener)

    Phlebotomist - (Health Screener)

    Integrated Corporate Health LLC • Waynesburg, PA, US
    Full-time
    Integrated Health 21 (IH21) is a leading provider of worksite wellness screenings and vaccination clinics across the continental United States. Headquartered in Pittsburgh, PA with offices in Syracu...Show more
    Last updated: 30+ days ago • Promoted
    Intake Specialist

    Intake Specialist

    Community LIFE • Pittsburgh, PA, US
    Full-time
    Forest Hills, PA with extensive local travel (mileage is reimbursed at the federal rate).The Intake Specialist (IS) conducts in-home assessments and provides information to individuals and their fa...Show more
    Last updated: 7 hours ago • Promoted • New!
    Certified Peer Specialist

    Certified Peer Specialist

    Unity Family Services • Kittanning, PA, US
    Full-time +1
    Are you someone who is looking for a new career? Do you want to help others without years of formal education?.Do you have a past history of mental health struggles or drug and alcohol addiction an...Show more
    Last updated: 30+ days ago • Promoted
    Referral Support Specialist - 246061

    Referral Support Specialist - 246061

    Medix • Pittsburgh, PA, US
    Full-time
    Now Hiring : Referral Support Specialist.Are you organized, solution-driven, and passionate about improving patient access to care? Join us as a. In this position, you'll work within a.You'll serve a...Show more
    Last updated: 27 days ago • Promoted
    Intake Specialist

    Intake Specialist

    Sechler Law Firm • Warrendale, PA, US
    Full-time
    Sechler Law Firm is searching for an energetic inside sales representative to join our team and support business growth.In this role, you will be responsible for engaging, equipping, and educating ...Show more
    Last updated: 7 hours ago • Promoted • New!
    Travel CT Technologist - $2,942 per week

    Travel CT Technologist - $2,942 per week

    Host Healthcare • Uniontown, PA, United States
    Full-time
    Host Healthcare is seeking a travel CT Technologist for a travel job in Uniontown, Pennsylvania.Job Description & Requirements. Host Healthcare Job ID #a1fVJ0000075VNJYA2.Pay package is based on 10 ...Show more
    Last updated: 30+ days ago • Promoted
    Credentialing Specialist

    Credentialing Specialist

    North Pittsburgh Oral Surgery • Cranberry Township, PA, US
    Full-time
    North Pittsburgh Oral Surgery (NPOS) has supported communities in and around Western Pennsylvania for 60 years.As a large specialized group of Board-Certified Oral Surgeons, we have high expectatio...Show more
    Last updated: 5 days ago • Promoted
    Travel - MRI Tech

    Travel - MRI Tech

    Titan Medical Group • Clinton, PA, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 6 hours ago • Promoted • New!
    Accounts Receivable Specialist

    Accounts Receivable Specialist

    Sewickley Academy • Sewickley, PA, US
    Full-time
    Distinguished by its rigorous academics, outstanding faculty, and highly motivated student body, Sewickley Academy is Pittsburgh’s longest-standing coeducational independent Junior Pre-Kinder...Show more
    Last updated: 5 days ago • Promoted
    Mortgage Field Services Inspector

    Mortgage Field Services Inspector

    Far Inspections • Waynesburg, PA, US
    Full-time
    FAR Inspections is looking for highly motivated individuals to perform residential occupancy verifications on behalf of mortgage lenders. Independent contractors earn predictable full-time or supple...Show more
    Last updated: 13 days ago • Promoted
    Travel - Cath Lab Tech

    Travel - Cath Lab Tech

    Titan Medical Group • Washington, PA, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 6 hours ago • Promoted • New!
    Travel - X-Ray Tech

    Travel - X-Ray Tech

    Titan Medical Group • Claysville, PA, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 6 hours ago • Promoted • New!
    Accounts Receivable Specialist

    Accounts Receivable Specialist

    Robert Half • Coraopolis, PA, US
    Full-time
    We are looking for a skilled HYBRID (3 days onsite, 2 days remote) Accounts Receivable Specialist to join our team in Coraopolis, Pennsylvania. This is a Contract-to-continuous position offering a b...Show more
    Last updated: 3 days ago • Promoted