Administration - Referral Specialist - Full Time

Who We Are: At Murfreesboro Medical Clinic & SurgiCenter (MMC), compassion meets innovation and teamwork fuels success! As a physician-owned, multi-specialty clinic, we’ve proudly served Middle Tennessee for decades. With 20+ specialties under one roof, we’ve built a supportive, collaborative environment where professionals thrive and patients feel cared for.

What We Do: Our team is growing, and we’re looking for a skilled professional to join us! You’ll play an important role in providing excellent care, supporting patients through meaningful moments, and working alongside a supportive team. At MMC, your expertise matters, your voice is valued, and your career has room to grow. Ready to make an impact? We’d love to meet you!

Why You’ll Love Working Here: We’re committed to supporting your success inside and outside of work with a benefits package that includes medical, dental, and vision insurance, life and disability coverage, FSA & HSA options, a 401(k) with company match, gym membership reimbursement, wellness programs, and more.

Position Summary

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.

Primary 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.

Education & Experience

• High School diploma or equivalent required.
• 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.

Skills & Competencies

• 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.

Working Conditions

• Work is primarily performed in a clinical office setting and involves frequent telephone and in-person communication with patients and staff.
• The role involves continuous engagement and interaction with others and may involve occasional or frequent interruptions.
• The work environment reflects typical conditions found in a medical practice, including exposure to standard clinical equipment, patient interactions, and administrative workflows.
• There is potential exposure to common medical practice conditions, including communicable diseases, bodily fluids, and chemical substances.
• Physical demands include walking, bending, reaching, lifting up to 20 pounds, stooping, assisting patients, and prolonged periods of sitting.
• The position may also involve occasional stress due to multiple responsibilities and competing priorities.

Disclaimer

This job description outlines the general nature and responsibilities of the role and is not an exhaustive list of duties or requirements. Responsibilities may evolve based on organizational needs. Employment is contingent upon successful completion of a background check, drug screening, and compliance with health and immunization requirements (if applicable). This position requires strict adherence to confidentiality and data privacy standards. Employment is at-will and does not constitute a contract. We are an Equal Opportunity Employer and do not discriminate based on any protected characteristic.