MUSCP - Referral Representative - Parkshore

MUSC (Med. Univ of South Carolina)•Charleston, SC

40d

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

Required Minimum Training and Education: High School Degree or Equivalent
Work Experience: 0-6 months

Responsibilities

Processes referrals for the MUSCP Primary Care offices
Upon receipt of referral from the MUSC Physicians Primary Care offices, schedules appointments for specialists and diagnostic testing utilizing Epic to schedule or by contacting the departments.
Obtain pre-authorization number from patient's insurance company as required for appointments.
Provides support to the office staff and providers via Epic inbasket message, phone calls or emails in reference to questions or concerns involving referrals.
Data entry of referral for tracking purpose.
Process community referrals by sending the patient's referral and medical records to the community providers and verifying patient's appointment.
Closing the loop with PCMH, patients must be contacted after any no showed and canceled appointment to reschedule their appointment.
Follow up on pending referrals in a timely manner.
Communicate appointment information to include appointment date, time and location with the patient. Print and mail correspondence related to scheduling when needed.
Perform Referral Specialist duties as assigned by Referral Manager and maintain departmental protocol.
Serve as a liaison to all MUSC Entities and the general public
Act as liaison to ensure appointment access with appropriate departments and the community offices. This role triages patient calls/messages, and provider/office staff calls and inbasket messages according to established protocol to answers questions, resolves issues and refer to appropriate departmental contact as needed to ensure a positive overall patient experience.
Perform routine and advanced clerical duties
Answer multi-line telephone, handle calls appropriately, filing and make copies.
Responsible for maintaining adequate inventory of office supplies with the approval of the Referral Manager.
All other related duties as assigned by Referral Manager
Provide assistance with referrals to the MUSC Physicians Primary Care office staff and physicians when needed.