Referral Management Specialist - Lancaster, SC

C018 MUSC Community Physicians (MCP); United States; On-site; USD 23,000 - 32,000; Full time

Job summary

MUSC Community Physicians (MCP) is seeking a Referral Coordinator to obtain and process physician orders and referrals, ensuring accurate clinical documentation for care delivery, including specialty and outpatient referrals.

The role also conducts online insurance eligibility verification, secures pre-certification/authorization, performs referral clearance, and provides financial education on designated cases, communicating with patients, specialists, and referring providers as needed.

Qualifications

• High School Diploma or Equivalent.
• 0–6 months of work experience in healthcare coordination or similar.
• Proven ability to communicate clearly with patients, families and providers.

Responsibilities

• Obtain and process signed physician orders/referrals to ensure accurate clinical documentation for care delivery and referrals to specialty and outpatient ancillary services.
• Conduct online insurance eligibility/benefit verification.
• Obtain pre-certification/authorization and referral clearance.
• Provide financial education on designated cases.
• Notify patient/guarantor, specialist, referring provider, etc., with pertinent information.

Skills

Referral coordination

Insurance eligibility verification

Documentation

Communication

Education

High School Diploma or Equivalent

Tools

EHR systems

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.

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.

Thank you for wanting to be part of the Medical University of South Carolina team. Whether you want to teach the next generation of health care leaders, innovate new business models, discover the next breakthrough or provide patient care, there's a role for you that fuels your passion and takes advantage of your skills.

There are career opportunities available in academics, research, hospital medicine, physician practices and support services, from patient billing to IT.

MUSC attracts more than $250 million annually in research funding, making it the biggest magnet for biomedical, extramural research dollars of all institutions of higher learning in South Carolina.

The Clinical and Translational Science Award (CTSA) Program aims to advance clinical and translational science to increase the speed at which new treatments become available to patients.

MUSC Health, the clinical enterprise, operates a 750 bed medical center, which includes a nationally recognized Children’s Hospital, the Ashley River Tower (cardiovascular, digestive disease, and surgical oncology), Hollings Cancer Center (one of fewer than 70 elite National Cancer Institute designated centers), a Level I Trauma Center and the Institute of Psychiatry.

U.S. News & World Report placed us among the top one percent of all American hospitals, with 11 specialties in the top 50.

The MUSC Medical Center is also one of only three Magnet designated hospitals in South Carolina.