Referral Management Specialist II

Medical University of South Carolina • Georgetown, TX

7d • Onsite

About The Position

Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals. In addition, the referral coordinator will conduct online insurance eligibility/benefit verification, obtain pre-certification/authorization, referral clearance and financial education on designated cases. As appropriate; notifies patient/guarantor, specialist, referring provider, etc., with pertinent information, inclusive of, but not limited to clinical documentation, referral status, follow-up, etc.

Requirements

• High School Degree or Equivalent
• 0-6 months of work experience

Responsibilities

• Obtain and process signed physician orders/referrals for accurate clinical documentation.
• Conduct online insurance eligibility/benefit verification.
• Obtain pre-certification/authorization and referral clearance.
• Provide financial education on designated cases.
• Notify patient/guarantor, specialist, referring provider with pertinent information regarding clinical documentation, referral status, follow-up, etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED