Referral & Student Health Insurance Coordinator

Clemson University; Clemson (SC); On-site; USD 48,000 - 52,000; Full time

Job summary

Clemson University in Clemson, SC seeks a Referral & Student Health Insurance Coordinator to oversee SHIP enrollment, waivers, and referrals, ensuring policy compliance and clear communication with students, families and departments.

The role combines administrative coordination with health services collaboration, handling invoices, prior authorizations, and orientation activities while supporting the Bridge to Clemson program.

Qualifications

• High school diploma or equivalent required; relevant experience in business management, public administration, or administrative services may substitute for required work experience.
• Bachelor's degree may substitute for required work experience.

Responsibilities

• JOB KNOWLEDGE: Fundamental working knowledge of concepts, practices and procedures and ability to apply in varied situations.
• SUPERVISORY RESPONSIBILITIES: Not responsible for supervising employees.
• BUDGETARY RESPONSIBILITIES: No fiscal responsibility for the department's budget.

Education

High school diploma or equivalent

Bachelor's degree substitution for work experience

Job description

Referral & Student Health Insurance Coordinator

Full Time

JOB SUMMARY:

Plans, coordinates and/or performs administrative, business management or support services activities.

JOB DUTIES:

• 10% - Communication and Marketing Support: Collaborates with internal stakeholders to review, update, and coordinate the development and ordering of printed materials, including appointment cards, MyHealth-e cards, orientation materials, and Bridge to Clemson publications. Ensures accuracy, consistency, and alignment of communication with organizational messaging and operational needs. Serves as the Student Health Services coordinator for new student orientation activities and the Bridge to Clemson program by managing the planning, communication, and implementation of related processes. Maintains current and accurate after-hours care information on the Student Health Services website and ensures accessibility by coordinating the placement and upkeep of QR code decals on clinic doors that direct patients to this information. Supports the Clinical Practice Manager in the development, review, and update of print and digital communications, including website content, to ensure timely and effective
• 35% - Student Health Insurance Plan (SHIP) Coordinator: Coordinates and tracks SHIP enrollment and waiver processes to ensure compliance with University Policies and requirements. Coordinates file transfers to assure the proper identification of new enrollees and those that have submitted waivers. Reconciles invoices from the insurance carrier with the University documentation of students charged for insurance. Submits administrative enrollments as needed. Collaborates with the Dean of the Graduate School, Office of International Services, and Student Financial Services to ensure effective communication and accurate implementation of SHIP processes. Communicates SHIP highlights, changes, enrollment, and waiver procedures through various channels to inform new and continuing students. Meets with students/parents to explain SHIP benefits and costs. Represents Student Health Services at International and Graduate student orientations and assists with the revision and distribution of orientation information. Assists students with enrollment and waiver procedures and provides guidance throughout the process. Assists students in resolving claims issues with SHIP insurance carrier and outside providers. Coordinates and facilitates prior authorization requests for SHIP members, working with the insurance carrier, healthcare providers, and students to ensure required documentation is submitted and authorization requirements are met. Attends weekly meetings with Academic Health Plan representatives to provide updates, discuss program activities, and resolve outstanding issues. Responsible for credentialing
• 55% - Referral Coordinator: Coordinates and manages medical and mental health clinic referral appointments in accordance with Redfern Health Center (RHC) policies and procedures, including scheduling, tracking, and follow-up. Collaborates with healthcare providers to determine the most appropriate specialists or facilities based on patient needs and insurance coverage. Maintains accurate and comprehensive referral documentation within the electronic health record (EHR) and monitors referral progress to ensure completion of appointments and timely receipt of consultation reports. Proactively follows up with external providers to obtain outstanding documentation and ensures all reports are uploaded and routed to the referring provider for review. Communicates regularly with patients regarding referral status and assists with appointment coordination as needed. Provides support to patients in verifying insurance benefits and clarifying potential out-of-pocket costs. Maintains and updates referral resources, including provider lists, within the EHR to ensure accuracy and usability. Prepares detailed monthly reports on referral activity, including referral volume and outcomes, and provides regular updates to providers and leadership on trends and identified issues. Maintains and updates the Outside Referrals Policy and Procedures and ensures the Referral Office Update spreadsheet remains current and accurate.

JOB CODE:

AH10

EMPLOYEE TYPE:

Regular FTE Staff

Minimum Requirements:

A high school diploma and relevant experience in business management, public administration, or administrative services or a bachelor's degree may be substituted for the required work experience.

Preferred Requirements:

XX

RESPONSIBILITIES:

JOB KNOWLEDGE

Fundamental working knowledge of concepts, practices and procedures and ability to apply in varied situations.

SUPERVISORY RESPONSIBILITIES

Not responsible for supervising employees.

BUDGETARY RESPONSIBILITIES

No fiscal responsibility for the department's budget.

PHYSICAL REQUIREMENTS:

Perceive, observe, clarity of vision: 100% Move, transport, raise or lower 50 lbs or more: 10% Recognize or inspect visually: 100% Communicate, converse, give direction, express oneself: 80% Walk or move about: 15% Sit (stationary position) for prolonged period: 75%

WORKING CONDITIONS:

None: %

WORK SCHEDULE:

Standard Hours:

37.5

COMPENSATION INFORMATION:

Expected Salary Range

47500 - 52000

Salary is dependent upon several factors including, but not limited to, a candidate's previous experience, knowledge, skills and performance in accordance with Clemson's compensation guidelines.

ESSENTIAL PERSONNEL LEVEL:

Normal Operations - Required to follow emergency facility closure and modified operations directives, and not normally expected to work on-site during emergency situations.

JOB LOCATION:

Clemson, SC

APPLICATION DEADLINE:

September 23, 2026

MILITARY AND VETERAN:

Military Equivalency: Clemson University is proud to allow educational equivalency for military technical certifications and trainings that directly relate to the job duties.

Veteran Preference: South Carolina provides employment preference to eligible veterans for qualifying full-time permanent positions. To be considered, applicants must meet the minimum qualifications, have been discharged under honorable conditions, and indicate their veteran status in the application by uploading a DD-214 for confidential review. A request for Veteran Preference can be made via the application process. Please contact [e-mail] with any questions or issues.

CLOSING STATEMENT:

Clemson University is an EEO/AA employer. Employment decisions are made without regard to characteristics protected by applicable law including disability and protected veteran status.