Referral Management Specialist - Lancaster, SC

MUSC Health; Lancaster (SC); On-site; USD 21,000 - 30,000; Full time

Job summary

MUSC Community Physicians (MCP) Lancaster Access Center is seeking a referral coordinator to obtain and process physician orders and referrals, ensuring accurate clinical documentation for care delivery. The role includes online insurance eligibility checks and securing pre-certifications/authorizations for outpatient services.

Responsibilities include notifying patients and providers with pertinent information and guiding referrals through the process.

Qualifications

• High School degree or equivalent required.
• 0–6 months of work experience preferred.
• Strong attention to detail and organizational skills.

Responsibilities

• Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery.
• Verifies insurance eligibility/benefit online and obtains pre-certifications/authorizations.
• Coordinates referrals for specialty and outpatient services and communicates status to patients, providers and guarantors.

Education

High School Degree or Equivalent

Job description

Job Description Summary Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals.

Entity MUSC Community Physicians (MCP)

Worker Type Employee

Worker Sub-Type Regular

Cost Center CC003075 MCP - Lancaster PT Access Center

Pay Rate Type Hourly

Pay Grade Health-21

Scheduled Weekly Hours 40

Work Shift

Job Description 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.

Additional Job Description Education: High School Degree or Equivalent Work Experience: 0-6months

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees