The Referral Specialist coordinates specialty care referrals and follow-up services for patients, ensuring timely processing of referrals, obtaining prior authorizations, scheduling appointments, and facilitating communication between patients, providers, and external healthcare entities. This role supports integrated care coordination and MAP's mission of patient-centered, accessible, quality healthcare.
Key responsibilities include coordinating referrals to specialists and ancillary services, obtaining required prior authorizations, accurately entering referral information into the EHR, communicating appointment details to patients, following up with referral sources, ensuring compliance with referral protocols and PCMH standards, maintaining insurance guideline knowledge, promoting culturally sensitive communication, maintaining patient information confidentiality per HIPAA, attending training and meetings, and promoting healthcare integration principles.
Qualifications involve knowledge of managed care and insurance authorization, familiarity with community health resources, proficiency with EHR systems (preferably eClinicalWorks), strong independent work and time management skills, excellent communication and interpersonal skills, ability to work collaboratively, commitment to quality and health equity, and strong attention to detail in managing confidential information.
Education and experience requirements include an associate degree in a health-related field (bachelor's preferred), or equivalent work experience, and a minimum of 2 years' experience in a medical office setting related to referral coordination, insurance verification, or patient scheduling. Experience in FQHC or primary care settings is preferred.
Working conditions include the ability to sit or stand for extended periods, occasional lifting up to 30 pounds, manual dexterity to use office equipment, sufficient visual and auditory acuity, ability to manage interruptions in a busy environment, and flexibility in job duties and scheduling.
Benefits include medical, dental, and vision coverage, paid time off accrued biweekly, paid company holidays, retirement plan options, employee wellness programs including YMCA membership discounts, and professional development and continuing education support.
Medical Associates Plus is a community-based healthcare organization serving over 50,000 patients annually in Augusta, GA and surrounding communities through multiple clinics and mobile health units.
- Knowledge of managed care and insurance authorization processes
- Familiarity with community health resources and services
- Proficiency with electronic health records (eClinicalWorks preferred)
- Ability to work independently, prioritize tasks, and manage time effectively
- Strong verbal and written communication skills
- Excellent interpersonal skills; calm under pressure
- Ability to collaborate within a team and adapt to organizational needs
- Commitment to quality care, cultural competence, and health equity
- Strong attention to detail and confidentiality management
- Associate degree in a health-related field required; bachelor’s preferred
- Minimum 2 years’ experience in a medical office setting with referral coordination, insurance verification, or scheduling
- Experience in Federally Qualified Health Center or primary care setting preferred
- Medical, Dental, and Vision coverage
- Paid Time Off accrued biweekly
- Paid company holidays
- Retirement plan options
- Employee wellness programs including discounted YMCA membership
- Professional development and continuing education support
Location
Georgia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago