Referral Specialist

Prisma Health; Columbia (SC); On-site; USD 35,000 - 45,000; Full time

Job summary

Prisma Health is seeking a dedicated Referral Coordinator to manage physician referrals and ensure accurate processing for patient admissions. This role requires two years of experience in a relevant field, strong interpersonal skills, and an understanding of medical terminology. The opportunity offers a chance to make a meaningful impact in the healthcare system while working closely with medical staff and patients.

Qualifications

• Education: High School diploma or equivalent.
• Experience: Two years in admissions, physician office, billing company, or insurance company.
• Preferred experience with electronic medical records and Epic.

Responsibilities

• Ensures accurate and complete physician referrals.
• Obtains and assigns referrals for new patients.
• Schedules in-office and outgoing procedure appointments.

Skills

Medical terminology

Excellent interpersonal skills

Data entry skills

Proficient computer skills

Mathematical skills

Education

High School diploma or equivalent

Tools

Epic

Job description

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,physicianoffice, billing company or insurancecompany.

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.