MUSCP Referral Representative Parkshore

Medical University Of South Carolina

Job Location:

Charleston - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Job Description Summary

Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery specialty and outpatient ancillary 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.

Entity

MUSC Health Partners (MHP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC000102 CFC PC Primary Care Referral Specialist CC

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

Work Shift

Job Description

Processes referrals for the MUSCP Primary Care offices
Upon receipt of referral from the MUSC Physicians Primary Care offices schedules appointments for specialists and diagnostic testing utilizing Epic to schedule or by contacting the departments.
Obtain pre-authorization number from patients insurance company as required for appointments.
Provides support to the office staff and providers via Epic inbasket message phone calls or emails in reference to questions or concerns involving referrals.
Data entry of referral for tracking purpose.
Process community referrals by sending the patients referral and medical records to the community providers and verifying patients appointment.
Closing the loop with PCMH patients must be contacted after any no showed and canceled appointment to reschedule their appointment.
Follow up on pending referrals in a timely manner.
Communicate appointment information to include appointment date time and location with the patient. Print and mail correspondence related to scheduling when needed.
Perform Referral Specialist duties as assigned by Referral Manager and maintain departmental protocol.
Serve as a liaison to all MUSC Entities and the general public
Act as liaison to ensure appointment access with appropriate departments and the community offices. This role triages patient calls/messages and provider/office staff calls and inbasket messages according to established protocol to answers questions resolves issues and refer to appropriate departmental contact as needed to ensure a positive overall patient experience.
Perform routine and advanced clerical duties
Answer multi-line telephone handle calls appropriately filing and make copies.
Responsible for maintaining adequate inventory of office supplies with the approval of the Referral Manager.
All other related duties as assigned by Referral Manager
Provide assistance with referrals to the MUSC Physicians Primary Care office staff and physicians when needed.

Additional Job Description

Required Minimum Training and Education: High School Degree or Equivalent Work Experience: 0-6 months

Physical Requirements: Continuous requirements are to perform job functions while standing walking and sitting. Ability to bend at the waist kneel climb stairs reach in all directions fully use both hands and legs possess good finger dexterity perform repetitive motions with hands/wrists/elbows and shoulders reach in all directions. Ability to be qualified physically for respirator use initially and as required. Maintain 20/40 vision corrected see and recognize objects close at hand and at a distance work in a latex safe environment and work indoors. Frequently lift lower push and pull and/or carry objects weighing 50 lbs (/-) unassisted exert up to 50 lbs of force lift from 36 to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

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: Experience:

Unclear Seniority

Job Description SummaryObtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery specialty and outpatient ancillary addition the referral coordinator will conduct online insurance eligibility/benefit verification obtain pre-certification/aut...