Referral Coordinator

Posting Details

Position Information

About MSM

Morehouse School of Medicine (MSM) is a place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place for passionate individuals looking to join a dedicated community working today to help prepare tomorrow's leaders.

We exist to:

• Improve the health and well-being of individuals and communities;
• Increase the diversity of the health professional and scientific workforce;
• Address primary health care through programs in education, research and service;

With emphasis on people of color and the under-served urban and rural populations in Georgia, the nation and the world.

At Morehouse School of Medicine, we're leading the creation and advancement of health equity. You will find a fulfilling career at MSM!

Posting Number NONAC3763 Job Title Referral Coordinator Position Title Referral Coordinator Position Type Non-Faculty Number of vacancies 1 Salary Up to $46,000 Department MHC Family Medicine Position Summary

The Referral Coordinator is responsible for coordinating, processing, and monitoring patient referrals to ensure timely access to specialty care and diagnostic services. This role serves as a liaison between patients, providers, insurance companies, and external healthcare organizations to facilitate seamless care coordination while delivering an exceptional patient experience.

The Referral Coordinator ensures referrals are processed accurately, authorizations are obtained when required, appointments are coordinated efficiently, and documentation is maintained in Epic in accordance with organizational, payer, and regulatory requirements.

Essential Duties and Responsibilities

Referral Management

• Receive, review, and process incoming and outgoing referrals.
• Coordinate specialty appointments for patients.
• Monitor Epic referral work queues daily.
• Ensure referrals contain complete clinical documentation.
• Verify referral requirements according to payer guidelines.
• Obtain and document prior authorizations as required.
• Track referral status through completion.
• Monitor referral aging and resolve delays promptly.
• Coordinate urgent and expedited referrals.
• Facilitate communication between referring and consulting providers.
• Ensure referral documentation is complete prior to scheduling.

Epic Responsibilities

Utilize Epic to support efficient referral coordination by:

• Managing referral work queues.
• Updating referral status.
• Documenting patient communications.
• Scheduling appointments.
• Utilizing In Basket messaging.
• Reviewing Care Everywhere documentation.
• Scanning external consultation reports.
• Uploading outside records.
• Completing referral documentation accurately.
• Closing completed referrals.
• Monitoring referral aging reports.
• Supporting provider documentation needs.

Insurance Verification and Authorization

• Verify insurance eligibility.
• Determine referral requirements by payer.
• Obtain prior authorizations.
• Submit required clinical documentation.
• Follow payer policies and medical necessity guidelines.
• Monitor authorization approvals and denials.
• Resolve authorization issues timely.
• Communicate authorization status with providers and patients.

Patient Coordination

• Educate patients regarding the referral process.
• Coordinate appointments with specialty providers.
• Communicate appointment details.
• Provide preparation instructions.
• Ensure patients understand next steps.
• Assist patients with transportation or scheduling barriers when appropriate.
• Follow up on incomplete referrals.

Provider Support

• Collaborate with physicians and advanced practice providers.
• Clarify referral orders.
• Coordinate urgent referrals.
• Communicate scheduling updates.
• Obtain missing clinical documentation.
• Support continuity of care.

Patient Experience

Deliver compassionate, patient-centered service by:

• Utilizing AIDET communication standards.
• Demonstrating empathy and professionalism.
• Maintaining confidentiality.
• Responding promptly to patient inquiries.
• Addressing concerns through service recovery.
• Promoting equitable access to care.

Care Coordination

Coordinate with:

• Primary Care Providers
• Specialty Providers
• Hospitals
• Imaging Centers
• Laboratory Services
• Care Management
• Population Health
• Patient Access
• Revenue Cycle
• Managed Care
• External physician offices

Quality and Compliance

• Maintain HIPAA compliance.
• Follow organizational policies.
• Maintain accurate documentation.
• Support quality initiatives.
• Participate in audits.
• Assist with accreditation readiness.
• Maintain referral documentation standards.

Performance Expectations

The Referral Coordinator is expected to:

• Process referrals accurately and timely.
• Meet departmental productivity standards.
• Maintain excellent customer service.
• Communicate professionally.
• Reduce referral delays.
• Improve referral completion rates.
• Support patient access initiatives.
• Demonstrate teamwork and accountability.

Key Performance Indicators (KPIs)

• Referral turnaround time
• Referral completion rate
• Referral aging
• Prior authorization turnaround time
• Referral accuracy
• Patient satisfaction
• Epic documentation accuracy
• In Basket response time
• Appointment scheduling timeliness
• Referral leakage reduction
• Work queue productivity

Knowledge, Skills, and Abilities

• Excellent communication skills.
• Strong organizational abilities.
• Critical thinking and problem-solving.
• Attention to detail.
• Time management.
• Customer service excellence.
• Ability to manage multiple priorities.
• Knowledge of insurance regulations.
• Proficiency in Microsoft Office and Epic.
• Ability to work independently and collaboratively.

Minimum Qualifications

Required Qualifications

• High school diploma or GED required.
• Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred.
• Minimum two years of healthcare experience.
• Experience coordinating referrals and prior authorizations.
• Knowledge of medical terminology.
• Experience with commercial, Medicare, and Medicaid insurance.
• Epic experience preferred.
• Strong customer service skills.

Preferred Qualifications

Preferred Qualifications

• Ambulatory healthcare experience.
• Academic medical practice experience.
• Multi-specialty practice experience.
• Care coordination experience.
• Population health or value-based care experience.

Closing Date 10/20/2026 Open Until Filled No Special Instructions to Applicants

Employment in this role may be contingent upon extramural funding and successful performance and may be terminated or reduced in percentage of appointment if such funding is not secured or ceases to be available.

Quick Link https://careers.msm.edu/postings/24397 EEO Statement Summary

Morehouse School of Medicine is an equal opportunity/equal access/affirmative action employer fully committed to achieving a diverse workforce and complies with all Federal and Georgia State laws, regulations, and executive orders regarding non-discrimination and affirmative action. Morehouse School of Medicine does not discriminate on the basis of race, age, color, religion, national origin or ancestry, sex, gender, disability, veteran status, genetic information, sexual orientation, or gender identity or expression.

Job Duties

Pre-Employment/Employment Requirements

All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization

Immunization Requirements

It is MSM's Immunization policy that all Prospective Employees are encouraged to provide proof that they are vaccinated against COVID-19 prior to commencement of employment. If employment will commence during Flu Season, MSM requires all individuals to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless granted an exemption. Failure to provide proof of vaccination for any required vaccines or obtain an exemption from MSM will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

Applicant Documents

Required Documents

• Curriculum Vitae or Resume

Optional Documents

• Cover Letter