MUSCP - Referral Representative - Parkshore

Medical University of South Carolina•Charleston, SC

12d

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. 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.

Requirements

High School Degree or Equivalent
0-6 months Work Experience
Continuous requirements are to perform job functions while standing, walking and sitting.
Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions.
Ability to be qualified physically for respirator use, initially and as required.
Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors.
Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36” to overhead 25 lbs.
Infrequently work in dusty areas and confined/cramped spaces.

Responsibilities

Processes referrals for the MUSCP 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.