Referral Specialist

CHI; Chattanooga (TN); On-site; USD 23,185 - 32,745; Full time

Job summary

A leading healthcare organization in Chattanooga, Tennessee is seeking a Referral Specialist to manage patient access to specialized care. You will be responsible for processing referrals, authorizations, and ensuring seamless communication with patients and providers. Ideal candidates have a high school education along with experience in a healthcare environment. Strong organizational skills and attention to detail are essential. This position offers competitive pay ranging from $16.83 to $23.77 per hour.

Qualifications

• High School Graduate with 2 years of experience in a healthcare environment.
• Experience in a healthcare office specializing in the referral process.

Responsibilities

• Gather and process orders for tests and referrals.
• Communicate healthcare plan details to patients.
• Set up appointments and coordinate clinic visits.
• Provide patients with referral information.
• Coordinate information flow with insurance.
• Document communications in applicable systems.

Skills

Attention to detail

Organizational skills

Clear communication

Education

High School Graduate or GED

Tools

AEHR

PPMS

Job description

Job Summary And Responsibilities

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes.

Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services.

To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.

Responsibilities

• Gather, verify, and process orders for tests, referrals, authorizations, and pre-certifications by working closely with physicians, patients, and payers.
• Communicate detailed information and answer patients’ questions regarding their health care plan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Communicate or provide written material to patients with referral information such as date, time, and location, as well as contact information to ensure patient has resources to review if needed.
• Coordinate flow of information between medical clinic and patient insurance for referral authorization to secure a valid referral for clinic patient.
• Enter and annotate testing information and referrals, do e-referral for applicable practices for meaningful use and follow up to make sure e-referral or faxed referrals are received, document communications and action into PPMS and AEHR as appropriate.

Job Requirements

• High School Graduate General Studies and 2 years of progressively responsible related experience in a healthcare environment, upon hire or
• High School GED General Studies and 2 years of progressively responsible related experience in a healthcare environment, upon hire.

Preferred Qualifications

• 2 years of progressively responsible related experience in a healthcare office environment specializing in the referral process.
• Experience in AEHR and PPMS system.

Where You'll Work

CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award‑winning, faith‑based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.

Pay Range

$16.83 - $23.77 /hour