Referral Management Specialist-Pulmonary and Sleep Medicine Clinic
About The Position
The Referral Management Specialist 100% 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. Education: High school diploma or equivalent (GED); college degree preferred. Experience: Two years of experience in a medical office, call center, patient access area, or customer service in a business environment is required. A college degree may be substituted for work experience on a year-for-year basis. Demonstrated ability to prioritize and coordinate multiple tasks in a fast-paced call center environment. Working knowledge of computers and technology including Windows, Excel, and Internet/Intranet navigation tools required. Strong verbal, written, communication, and problem-solving skills. Ability to work in a self-directed manner while interacting with patients, physicians, and departmental partners. Additional Requirements: Typing speed of 35 CWPM required. If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
Requirements
- High school diploma or equivalent (GED)
- Two years of experience in a medical office, call center, patient access area, or customer service in a business environment is required.
- Demonstrated ability to prioritize and coordinate multiple tasks in a fast-paced call center environment.
- Working knowledge of computers and technology including Windows, Excel, and Internet/Intranet navigation tools required.
- Strong verbal, written, communication, and problem-solving skills.
- Ability to work in a self-directed manner while interacting with patients, physicians, and departmental partners.
- Typing speed of 35 CWPM required.
Nice To Haves
- College degree preferred.
- A college degree may be substituted for work experience on a year-for-year basis.
Responsibilities
- Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals.
- Conduct online insurance eligibility/benefit verification.
- Obtain pre-certification/authorization.
- Obtain referral clearance and financial education on designated cases.
- Notifies patient/guarantor, specialist, referring provider, etc., with pertinent information, inclusive of, but not limited to clinical documentation, referral status, follow-up, etc.
Benefits
- Affordable medical insurance
- FREE employee dental insurance
- Vision insurance starting around $6/month
- Short-term disability
- Long-term disability
- Optional term life insurance starting around $0.40/month
- MUSC Community Physicians contributes 5.15% of your eligible salary directly into your SHARP retirement account.
- Tuition reimbursement
- Certification bonus opportunities
- Continuing education
- Professional development
- Opportunities to grow across MUSC Health throughout South Carolina
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
