Referral Specialist jobs in Columbia, SC
Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Referral Specialist jobs
Referral Specialist
- 270 Prisma Health Medical Group-Midlands
-
Columbia, SC
FULL_TIME
- Inspire health. Serve with compassion. Be the difference. Job Summary To provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient’s preferred method of contact. The Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist Physicians. Responsibilities include documenting all actions and encounters regarding the referral including timely follow up with the patient, referring and referral physician practice and third party payors including pre-certification, cancelled and rescheduled appointments, and other events preventing closure of the referral experience. Accountabilities Responsible for the authorization/precertification process to include coordinating with outside and internal organizations along with insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis and prognosis. Provides specific medical information to financial services to maximize reimbursement to the hospital and physicians. Accurately records demographic, coverage, and scheduling information in various systems. Reminds patients of scheduled appointments via mail, internet, or telephone. Ensures that patient’s primary care chart is up to date with scheduling information about specialist consults, tests, and procedures managed. Alerts management to trends in appointment availability and appointment date timeliness. Promotes hospital goals towards meaningful use in the electronic medical record on behalf of the referring physician. Documents referral status and all scheduled appointments in appropriate system (electronic medical record) for referral tracking data. Responsible for following up after patient’s consultation, procedure, and/or test to determine if physician has received report; continues to check on status until complete. Serves as Liaison between the provider, practice, patient and specialist providing the service. Communicates Provides appropriate patient clinical information and referral needs to specialist office. Verifies physician’s orders to ensure the accuracy of results and communicates with the patient the guidelines, protocols and location. Assists patients in problem solving potential issues related to navigating the health care system, financial obligations or social barriers (e.g., request interpreters if appropriate, transportation services or prescription assistance). May assume advocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Promptly responds to patient’s scheduling requirements (date and time), questions and concerns to ensure patient experience expectations are met or exceeded. Ensures timely appointments are booked; reviews details and expectations about the referral process with patients. Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Palmetto Health. To ensure the effective and efficient operation of the facility and to create an extraordinary patient, physician and team member experience. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education High School diploma or equivalent Minimum Experience Two (2) years of comparable experience, preferably in a physician front office to include patient registration and/or electronic scheduling and the authorization/precertification process. Other Required Experience Must have excellent customer service skills and a sincere desire to make every patient and their family feel safe, welcomed and appreciated. Excellent oral and written communication skills and interpersonal phone skills. Knowledge of various health insurance companies. Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification process. Knowledge of Microsoft office products. Must pass data entry test 85 kst. with 90% accuracy. Work Shift Day (United States of America) Location 5900 Garners Ferry Rd Columbia Facility 3306 Family Medicine 5900 Garners Ferry Department 33061000 Family Medicine 5900 Garners Ferry-Practice Operations 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. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.
- 1 Month Ago
Referral Management Specialist
- MUSC
-
Lugoff, SC
FULL_TIME
- Job Description SummaryMUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the ...
- 7 Days Ago
Referral Specialist- Part Time
- Midlands Orthopaedics and Neurosurgery
-
Columbia, SC
PART_TIME
- Midlands Orthopaedics and Neurosurgery seeks a Part-time Referral Specialist to receive and schedule incoming referrals from other physician offices via computerized appointment scheduling program and...
- 27 Days Ago
Referral Management Specialist - Orangeburg
- MUSC
-
Orangeburg, SC
FULL_TIME
- Job Description Summary Job Description Summary Under general supervision, the Referral Management Specialist I serves as the initial point of contact for individuals and referring physicians seeking ...
- 1 Month Ago
Referral Management Specialist - Columbia, SC
- MUSC
-
Columbia, SC
FULL_TIME
- Job Description SummaryMUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the ...
- 7 Days Ago
Referral Specialist, Rheumatology, FT, Days
- 270 Prisma Health Medical Group-Midlands
-
Columbia, SC
FULL_TIME
- Inspire health. Serve with compassion. Be the difference. Job Summary To provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and ...
- 14 Days Ago
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0 Referral Specialist jobs found in Columbia, SC area
Records Specialist
- State of South Carolina
-
Columbia, SC
- Salary: $31,561.00 - $37,500.00 Annually Location : Richland County, SC Job Type: FTE - Full-Time Job Number: 24-066 Age...
- 4/26/2024 12:00:00 AM
Moving Specialist
- Gem Moving Services LLC
-
Columbia, SC
- Job Description Job Description Furniture mover Truck loading/unloading Wrapping/Unwrapping or protecting furniture from...
- 4/26/2024 12:00:00 AM
Metalworking Solutions Specialist
- Vallen
-
Columbia, SC
- Why Join our Team? At Vallen, we embrace what makes us unique. We thrive on the diversity of our associates and the diff...
- 4/25/2024 12:00:00 AM
Doughnut Specialist
- Krispy Kreme
-
Lexington, SC
- If you love spreading joy, then this position is for you! Our Doughnut Specialist team members are the face of Krispy Kr...
- 4/24/2024 12:00:00 AM
Training Specialist
- Kelly Professional & Industrial
-
Columbia, SC
- Kelly P&I is currently seeking a dedicated and skilled HR Generalist (QA Training Specialist) to join our team in Greenv...
- 4/24/2024 12:00:00 AM
Cloud cyber security specialist
- Dp Professionals Inc
-
Columbia, SC
- DPP is seeking a Cyber Security Specialist for an opportunity in Columbia, SC. Work arrangement:OnsiteW2 position; 12 mo...
- 4/23/2024 12:00:00 AM
Strategic Sourcing Specialist
- American Express Global Business Travel
-
Columbia, SC
- Amex GBT is a place where colleagues find inspiration in travel as a force for good and through their work can make an i...
- 4/22/2024 12:00:00 AM
Device Specialist (MCP)
- MUSC
-
Columbia, SC
- Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina tha...
- 10/16/2023 12:00:00 AM
About Columbia, South Carolina
One of Columbia's more prominent geographical features is its fall line, the boundary between the upland Piedmont region and the Atlantic Coastal Plain, across which rivers drop as falls or rapids. Columbia grew up at the fall line of the Congaree River, which is formed by the convergence of the Broad River and the Saluda River. The Congaree was the farthest inland point of river navigation. The energy of falling water also powered Columbia's early mills. The city has capitalized on this location which includes three rivers by christening itself "The Columbia Riverbanks Region". Columbia is lo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$37,467 to $45,997
Columbia, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Referral Specialist do?
Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020