Referral Management Specialist

Planned Systems International; Ellsworth Air Force Base (SD); On-site; USD 42,000 - 65,000; Full time

Job summary

QuarterLine, a Planned Systems International company, is seeking a Referral Management Center Specialist to support the healthcare team at a Military Treatment Facility. You will handle referral and appointment coordination, answer patient and staff questions, and educate patients on procedures and timelines.

Candidates should be a US citizen with a high school diploma, working knowledge of medical terminology, and experience in medical administration.

Qualifications

• US Citizen required.
• High school diploma or equivalent.
• Working knowledge of medical terminology.
• 1 year of administrative experience in medical setting preferred (referral management, medical scheduling, patient administration, or insurance verification).
• Proficiency with computers and keyboarding to sustain EHR workflow.
• Ability to read, write, speak, and understand English fluently.
• Ability to obtain favorable background check and MTF badge access.
• Current Basic Life Support certification where required, plus HIPAA training.

Responsibilities

• Answer incoming calls and assist patients and staff with referral questions.
• Review and process referrals for completeness and eligibility.
• Schedule and reschedule specialty appointments per MTF guidelines.
• Process routine, urgent, and emergent referrals within established timeframes.
• Coordinate referrals with outside providers or insurance when services are unavailable at the MTF.
• Maintain accurate referral documentation in MHS GENESIS and required systems.
• Educate patients on referral procedures, appointments, and timelines.
• Provide professional, courteous service while maintaining confidentiality.

Skills

Medical terminology

Administrative experience

Computer proficiency

EHR workflow

Education

High school diploma

Tools

MHS GENESIS

EHR software

Job description

QuarterLine, a Planned Systems International company, is seeking a Referral Management Center Specialist to support the healthcare team at a Military Treatment Facility. You will handle referral and appointment coordination, answer patient and staff questions, and educate patients on procedures and timelines.

Candidates should be a US citizen with a high school diploma, working knowledge of medical terminology, and experience in medical administration.