Referral Management Specialist II

Job Description Summary

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC005984 CHS - Tidelands MI Oncology & Infusion (Offsite)

Pay Rate Type

Hourly

Pay Grade

Health-20

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 diploma or equivalent (GED); college degree preferred.  Experience:  Two years of experience in a medical office, call center, patient access area, or customer service in a business environment is required. A college degree may be substituted for work experience on a year-for-year basis.  Demonstrated ability to prioritize and coordinate multiple tasks in a fast-paced call center environment. Working knowledge of computers and technology including Windows, Excel, and Internet/Intranet navigation tools required. Strong verbal, written, communication, and problem-solving skills. Ability to work in a self-directed manner while interacting with patients, physicians, and departmental partners.  Additional Requirements: Typing speed of 35 CWPM required.

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.

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