Referral Specialist

Prisma Health; Chapin (SC); On-site; USD 45,000 - 65,000; Full time

Job summary

Prisma Health is looking for a Referral Specialist who will ensure accurate physician referrals are processed efficiently. The position requires excellent interpersonal skills and a solid background in healthcare settings. Join us to make a difference in patient care by coordinating referrals and supporting our team effectively.

Qualifications

• Two years in admissions or similar roles required.
• Experience with electronic medical records preferred.

Responsibilities

• Manage and obtain referrals for new and existing patients.
• Schedule appointments and process authorizations.
• Provide excellent customer service to patients.

Skills

Medical terminology

Excellent interpersonal skills

Proficient computer skills

Data entry skills

Education

High School diploma or equivalent

Tools

Epic

Job description

Join to apply for the Referral Specialist role at Prisma Health

3 days ago Be among the first 25 applicants

Join to apply for the Referral Specialist role at Prisma Health

Inspire health. Serve with compassion. Be the difference.

Job Summary

Ensures accurate and complete physician referrals to be processed in timely manner. Works closely with management, nursing, physicians, to capture all incoming and outgoing referrals. Maintains customer service and teamwork goals within the department. Assumes decision making responsibilities as directed by manager/supervisor

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
• Obtains and/or assign referrals for new patients coming into the office as well as maintaining referrals for existing patients.
• Participates in insurance training sessions to increase knowledge and maintain compliance with guidelines. Learns insurance rules and regulations as it relates to federal, state, and managed care payers in multiple states.
• Maintains and/or request and receive authorizations for patients for procedures in office and for those procedures that are referred outside the office.
• Provides documentation when needed to support procedures referred out.
• Answers telephone, screens call, takes messages and provides information promptly and courteously to patients and providers offices.
• Assists patients and visitors in a prompt, courteous and helpful manner
• Schedules in office & out going procedure appointments.
• Maintains appointment schedules in accordance with established policies
• Supports front desk, counselor and others, as needed.
• Performs other duties as assigned.
  
  

Supervisory/Management Responsibilities

• This is a non-management job that report to a supervisor, manager, director or executive.
  
  

Minimum Requirements

• Education - High School diploma or equivalent
• Experience - Two (2) years in admissions, physician office, billing company or insurance company.
  
  

In Lieu Of

• NA
  
  

Required Certifications, Registrations, Licenses

• NA
  
  

Knowledge, Skills And Abilities

• Medical terminology
• Knowledge of office equipment
• Proficient computer skills (word processing, spreadsheets, database)
• Data entry skills
• Mathematical skills
• Excellent interpersonal skills.
• Previous experience with Epic preferred
• Previous experience with referral via electronic medical records preferred
  
  

Work Shift

Day (United States of America)

Location

Family Medicine - Chapin

Facility

3160 Family Medicine 105 Ellet Road - Chapin

Department

31601000 Family Medicine 105 Ellett Road - Chapin

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

R1117928

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Prisma Health by 2x

Sign in to set job alerts for “Referral Specialist” roles.

Referral Management Specialist - Columbia, SC

Referral Specialist, Ophthalmology, FT, Days

Prog Asst - Admission Coord - 60011234 -YC

Referral Specialist, Ophthalmology, PRN, Variable

Referral Specialist, Ophthalmology, PRN, Days

Patient Services Representative, OBGYN, Full Time, Days

Dental Patient Coordinator - Columbia, SC

Columbia, SC $45,000.00-$65,000.00 3 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.