Administration - Referral Specialist - Full Time

Murfreesboro Medical Clinic & SurgiCenter•Murfreesboro, TN

3d•Onsite

About The Position

The Referral Specialist is responsible for coordinating and processing patient referrals, authorizations, and related insurance requirements to support timely access to care. This role works closely with patients, providers, and referring offices to ensure referrals are accurately processed, documented, and communicated while providing professional and patient-centered service.

Requirements

High School diploma or equivalent required.
Strong communication and customer service skills when working with patients, providers, and insurance companies.
Knowledge of insurance processes, referrals, authorizations, and medical scheduling.
Proficiency with EMR systems and standard computer applications.
Strong attention to detail with the ability to manage multiple referrals and prioritize time-sensitive tasks.
Maintains professionalism, confidentiality, and effective teamwork in a fast-paced healthcare environment.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

1 year of healthcare or administrative experience preferred.
Previous experience with referrals, insurance verification, prior authorizations, or medical scheduling preferred.
Experience working with electronic medical records (EMR) and insurance processes preferred.

Responsibilities

Receive, review, and process incoming and outgoing referrals.
Verify referral information and authorization requirements as required by insurance plans or referring providers.
Communicate with patients, referring physician offices, and internal departments regarding referral status, requirements, and scheduling.
Review referral information for accuracy and completeness and obtain missing documentation or required signatures as needed.
Document referral activity, authorizations, and related communications accurately and timely in the electronic medical record (EMR).
Assist patients with insurance-related questions and referral requirements and provide clear instructions regarding next steps.
Work with medical and administrative staff to resolve referral barriers, delays or complex issues.
Monitor referrals from initiation to completion and follow up as needed to help ensure timely completion and continuity of patient care.
Maintain patient confidentiality and comply with HIPAA, OSHA, and MMC policies and procedures.
Perform other duties as assigned to support the overall success of the department and organization.