Referral Specialist jobs in Summerville, 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)

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Referral Management Specialist
  • MUSC
  • Charleston, SC FULL_TIME
  • Job Description Summary

    The Referral Management Specialist I reports to the Digestive Health Patient Access Scheduling Supervisor. Under general supervision, the Referral Management Specialist serves as the initial point of contact for individuals and referring physicians seeking access and referral information for medical care at MUSC. This position facilitates the referral process and schedules appointments Digestive Health Providers. This role triages patient calls according to established algorithms, answers questions, resolves issues and refers to appropriate clinical team for clinical issues as appropriate. This position performs quality data collection of accurate information including demographic, physician, insurance, employment, next of kin, emergency contacts and other miscellaneous information needed to complete the patient’s information. This role performs activities to ensure effective operations of the clinics, while enhancing the revenue cycle and providing the highest level of customer service.

    Entity

    Medical University Hospital Authority (MUHA)

    Worker Type

    Employee

    Worker Sub-Type​

    Regular

    Cost Center

    CC000388 CHS - DDC Clinical (Digestive Disease Center) (ART)

    Pay Rate Type

    Hourly

    Pay Grade

    Health-19

    Scheduled Weekly Hours

    40

    Work Shift

    Job Description

    The Referral Management Specialist I reports to the Digestive Health Patient Access Scheduling Supervisor.  Under general supervision, the Referral Management Specialist serves as the initial point of contact for individuals and referring physicians seeking access and referral information for medical care at MUSC.  This position facilitates the referral process and schedules appointments Digestive Health Providers. This role triages patient calls according to established algorithms, answers questions, resolves issues and refers to appropriate clinical team for clinical issues as appropriate. This position performs quality data collection of accurate information including demographic, physician, insurance, employment, next of kin, emergency contacts and other miscellaneous information needed to complete the patient’s information.  This role performs activities to ensure effective operations of the clinics, while enhancing the revenue cycle and providing the highest level of customer service. 

    Additional Job Description

    A Bachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years experience in a Medical Office, Call Center, and/or customer service business environment required.    The ability to prioritize and coordinate multiple tasks in a busy environment necessary.  Extensive experience with computers and technology including Windows, Excel, and Intranet/Internet navigation tools, as well as system content, essential.  Strong demonstrated verbal, written, problem solving and presentation skills. Ability to work in self-directed manner while interacting with customers, physicians and departmental partners.

    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.

    Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

  • Just Posted

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Referral Management Specialist I or II
  • MUSC
  • Charleston, SC FULL_TIME
  • Job Description Summary The Referral Management Specialist II reports to the Patient Access Scheduling Supervisor. Under general supervision, the Patient Access Specialist position schedules appointme...
  • 19 Days Ago

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Insurance Verification/Prior Authorization Specialist
  • Coastal Fertility Specialist
  • Daniel, SC FULL_TIME
  • Start a rewarding career that will last a lifetime! Coastal Fertility Specialists is growing and has an immediate opening for a Financial Counselor Assistant (Insurance Verification/Prior Authorizatio...
  • 1 Month Ago

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Front Desk Coordinator
  • Coastal Fertility Specialist
  • Mount Pleasant, SC FULL_TIME
  • Start a rewarding career that will last a lifetime! Coastal Fertility Specialists is growing and has an immediate opening for a Front Desk Coordinator (check out). We are looking for someone who wants...
  • 17 Days Ago

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Fertility Nurse Coordinator
  • Coastal Fertility Specialist
  • Mount Pleasant, SC FULL_TIME
  • Start a rewarding career that will last a lifetime! Coastal Fertility Specialists is growing and has an immediate opening for a Registered Nurse who wants to make a difference in this world by helping...
  • 17 Days Ago

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Call Center Representative
  • Charleston Gastroenterology Specialist P
  • Summerville, SC FULL_TIME
  • Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physicians’ practice and three nationally certified and s...
  • 23 Days Ago

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0 Referral Specialist jobs found in Summerville, SC area

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Subject Matter Expert III (SELC/SFLC)
  • Chugach Government Solutions, LLC
  • North Charleston, SC
  • Job Description Job Description The candidate will provide System Engineering Life Cycle (SELC), Surface Forces Logistic...
  • 4/25/2024 12:00:00 AM

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Community Homeownership Specialist
  • First National Bank (FNB Corp.)
  • Charleston, SC
  • Primary Office Location: 317 Meeting Street. Charleston, South Carolina. 29401. Join our team. Make a difference - for u...
  • 4/24/2024 12:00:00 AM

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Peloton Expert Talent Community - Mt Pleasant Towne Center
  • Peloton
  • Mount Pleasant, SC
  • ABOUT THE ROLEThis is not an open job. Submitting an application allows your profile and resume to be reviewed by a Pelo...
  • 4/24/2024 12:00:00 AM

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Water Damage Specialist
  • Belfor
  • NORTH CHARLESTON, SC
  • RESTORING MORE THAN PROPERTY Flooding. Fires. Windstorms. Hundreds of thousands of clients rely on BELFOR Property Resto...
  • 4/24/2024 12:00:00 AM

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Freelancing Expert - Digital Nomad
  • Fud, Inc.
  • North Charleston, SC
  • We are looking for a Freelancing Expert - Digital Nomad to help aspiring digital nomads achieve their goals. The ideal c...
  • 4/23/2024 12:00:00 AM

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Specialist
  • Roper St. Francis Healthcare
  • Summerville, SC
  • Thank you for considering a career at Roper St. Francis Healthcare! Job Summary: The Purpose of the Patient Access Speci...
  • 4/22/2024 12:00:00 AM

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Walmart Retail Specialist
  • Acosta Group
  • Summerville, SC
  • **Walmart Retail Specialist** **General Information** **Company:** PRE-US **Location:** SUMMERVILLE, South Carolina, 294...
  • 4/22/2024 12:00:00 AM

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Transplant Clinical Practice Nurse Expert
  • MUSC
  • Charleston, SC
  • Job Description Summary The Transplant Clinical Practice Nurse Expert reports to the Transplant Operations Director. Und...
  • 2/21/2024 12:00:00 AM

Summerville is a town in the U.S. state of South Carolina situated mostly in Dorchester County with small portions in Berkeley and Charleston counties. It is part of the Charleston-North Charleston-Summerville Metropolitan Statistical Area. The population of Summerville at the 2010 census was 43,392, and the estimated population was 50,213 as of June 1, 2018. The center of Summerville is in southeastern Dorchester County; the town extends northeast into Berkeley and Charleston counties. It is bordered to the east by the town of Lincolnville and to the southeast by the city of North Charleston....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$38,195 to $46,891
Summerville, South Carolina area prices
were up 1.5% from a year ago

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