Referral Management Specialist

2 weeks ago

Charleston, United States MUSC Full time

Job Description Summary

MUSC 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 state of South Carolina.

The Referral Management Specialist obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals.

Job Responsibilities
  • The Referral Management Specialist 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.
Minimum Education and Experience
  • High school diploma or equivalent (GED) and one year of work experience in either patient services, medical reception, or call/customer service center (preferably in a medical environment). (would be open to make this 2 years exp)
Required Licensure, Certifications, Registrations
  • N/A
Benefits
  • Health, dental, vision, and life insurance
  • Employer Sponsored Retirement Plan
  • Paid time off and extended sick leave
  • Paid Parental Leave
  • Disability insurance plan options
  • Continuous professional and clinical training
  • Competitive pay
  • Annual Merit Increase
  • Wellbeing resources
  • Tuition Reimbursement
  • Employee perks and discounts
  • Employee referral program
  • Flexible schedule options
  • Certification incentive program
Physical Requirements
  • Ability to perform job functions while standing and sitting. Ability to perform job functions while walking and climbing stairs. Ability to work from elevated areas. Ability to work in confined/cramped spaces. Ability to perform job functions from kneeling positions. Ability to bend and twist at the waist. Ability to squat and perform job functions. Ability to perform gross motor activities with fingers and hands. Ability to perform firm grasping with fingers and hands. Ability to reach overhead. Ability to perform repetitive motions with hands/wrists/elbows and shoulders. Ability to use lower extremities for balance and coordination. Ability to reach in all directions. Ability to lift and carry 50 lbs. unassisted. Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. Ability to lift from 36" to overhead 25 lbs. Ability to exert up to 50 lbs. of force. Examples include: To transfer a 100 lb. patient that cannot assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force are needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force are required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. Ability to see and recognize objects close at hand or at a distance. Ability to match or discriminate between colors. Ability to determine distance/relationship between objects; depth perception. Ability to maintain hearing acuity, with correction. Ability to perform gross motor functions with frequent fine motor movements. Ability to deal effectively with stressful situations. Ability to work rotating shifts. Ability to work overtime as required. Ability to work in a latex safe environment. Ability to maintain tactile sensory functions.

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

  • Facilities Management Specialist

    1 week ago

    Charleston, West Virginia, United States Protech Facilities Management Full time

    Job OverviewAt Protech Facilities Management, we specialize in preserving the value of top-tier multi-site brands. Our team is committed to delivering exceptional results by utilizing the latest technology and maintenance practices.We are seeking a highly skilled Facilities Management Specialist to join our team. The ideal candidate will have a proven track...

  • Cleanliness Specialist

    7 days ago

    Charleston, West Virginia, United States VP Management Full time

    Cleanliness Specialist Job DescriptionThe VP Management is hiring a dedicated Cleanliness Specialist to work in our housekeeping department at the Charleston Hotel. In this role, you will be responsible for ensuring the hotel's rooms and public areas are cleaned and maintained to the highest standards.

  • Diagnostic Imaging Specialist

    4 weeks ago

    Charleston, West Virginia, United States DispatchHealth Management Full time

    At DispatchHealth Management, we're building the nation's largest in-home care system to deliver trusted and compassionate care to all.About UsWe offer on-demand acute care and an advanced level of medical care for people of all ages in the comfort of their own homes.Our MissionWe work closely with payers, providers, health systems, EMS, employer groups, and...

  • Diagnostic Imaging Specialist

    4 weeks ago

    Charleston, West Virginia, United States DispatchHealth Management Full time

    About the RoleWe are seeking a skilled Diagnostic Imaging Specialist to join our team at DispatchHealth Management. This exciting opportunity allows you to work in various settings, including nursing homes and correctional institutions, performing mobile diagnostic imaging procedures to support patient diagnosis and treatment.Responsibilities:Perform safe...

  • Operations Support Specialist

    7 days ago

    Charleston, West Virginia, United States Protech Facilities Management Full time

    Job DescriptionProtech Facilities Management is seeking a highly motivated Operations Support Specialist to join our team. In this role, you will provide administrative support to our operations team, coordinate facility maintenance projects, and deliver exceptional customer service.The ideal candidate will have:A degree in business administration or related...

  • Maintenance Coordinator Specialist

    2 weeks ago

    Charleston, West Virginia, United States Protech Facilities Management Full time

    **Job Summary:**Protech Facilities Management is seeking a skilled Maintenance Coordinator Specialist to join our team. In this role, you will be responsible for coordinating maintenance activities, managing work orders, and ensuring seamless day-to-day operations.About Us:We specialize in preserving the value of top-tier multi-site brands by utilizing the...

  • Mobile Diagnostic Echocardiography Specialist

    4 weeks ago

    Charleston, West Virginia, United States DispatchHealth Management Full time

    We are seeking a highly skilled Mobile Diagnostic Echocardiography Specialist to join our team at DispatchHealth Management. In this role, you will provide mobile diagnostic echocardiographic scans in various settings, including private residences and clinics.About the JobAs a Mobile Diagnostic Echocardiography Specialist, you will be responsible for...

  • Irrigation Specialist

    2 weeks ago

    Charleston, South Carolina, United States Rea Landscape Management Full time

    Job OverviewWe are seeking a skilled Irrigation Specialist to join our team at Rea Landscape Management in Charleston. This is a fantastic opportunity for someone who enjoys working with irrigation systems and landscaping construction contracts.The ideal candidate will have 2 years of experience in landscaping irrigation repair, excellent communication...

  • Portfolio Management Specialist

    6 days ago

    Charleston, South Carolina, United States ARI Apartment Management Full time

    Job Overview:This Regional Property Manager position plays a critical role in ensuring the success of our properties in the Charleston area. As a key member of our team, you will be responsible for managing a portfolio of properties, leading a team of property managers and staff, and developing strategies to drive revenue growth and cost savings.Key...

  • Guest Experience Specialist

    6 days ago

    Charleston, South Carolina, United States IR Management LLC Full time

    Job Overview:We are seeking a Guest Experience Specialist to join our team at IR Management LLC. In this role, you will be responsible for ensuring that every guest feels welcome and valued during their visit.Main ResponsibilitiesWelcoming guests and creating a positive atmosphere through excellent customer serviceManaging seating availability and...

  • Risk Management Specialist

    6 days ago

    Charleston, West Virginia, United States Frampton Construction Full time

    Job Title: Risk Management SpecialistWe are seeking a skilled Risk Management Specialist to lead our risk management efforts, focusing on financial underwriting, insurance compliance, and reporting. The ideal candidate will have expertise in insurance policies, surety bonds, risk transfer strategies, and corporate finance.The successful Risk Management...

  • Windows Server Infrastructure Specialist

    3 weeks ago

    Charleston, West Virginia, United States Resource Management Concepts Full time

    Job Summary: We are looking for a skilled Windows Server Infrastructure Specialist to support a US Navy environment.Estimated Salary: $150,000 - $220,000 per yearAbout the Company: Resource Management Concepts provides high-quality, professional services to government and commercial sectors.Key Responsibilities:Serve as an on-site Windows Administrator...

  • Medical Care Specialist

    3 weeks ago

    Charleston, West Virginia, United States Southern Medical Management LLC Full time

    **About SouthernMED's Nurse Phone Triage Unit**We are a dynamic team of healthcare professionals dedicated to providing exceptional care to our patients. As a Medical Care Specialist, you will play a vital role in ensuring the highest level of patient satisfaction and health outcomes.**Compensation Package**The compensation package for this position includes...

  • Garden Development Specialist

    2 weeks ago

    Charleston, South Carolina, United States Rea Landscape Management Full time

    We are looking for a highly skilled Garden Development Specialist to join our team at Rea Landscape Management in Charleston, South Carolina.The ideal candidate will have experience in landscape construction, irrigation systems, grading, and drainage. They should be able to layout sod, planter areas, and irrigation zones like a pro.A valid driver's license...

  • Cleaning Services Specialist

    1 week ago

    Charleston, West Virginia, United States VP Management Full time

    Housekeeping Position SummaryWe have an opening for a Cleaning Services Specialist at the Hampton Inn & Suites Charleston Downtown. In this role, you will be responsible for maintaining the cleanliness and organization of our guest rooms and public areas. If you possess excellent communication skills, attention to detail, and a strong work ethic, we...

  • Construction Project Management Specialist

    4 weeks ago

    Charleston, West Virginia, United States F.H. Paschen Full time

    F.H. Paschen has over 110 years of experience in the construction industry, with a proven track record of delivering high-quality projects on time and within budget.Job SummaryWe are seeking an experienced Construction Project Management Specialist to join our team. The successful candidate will be responsible for managing Healthcare construction projects...

  • Veterinary Assistant, Charleston Veterinary Referral Center

    3 months ago

    Charleston, United States Ethos Veterinary Health Full time

    Charleston Veterinary Referral Center has exciting and rewarding career opportunities in our hospital! If you want to increase your knowledge and skills, we would like to meet you! We are looking for veterinary assistants to provide gold-standard care to our patients. We are fast-paced and serious about providing the best medicine! CVRC is a 24-hour...

  • Mobile Echocardiography Specialist

    4 weeks ago

    Charleston, South Carolina, United States DispatchHealth Management Full time

    DispatchHealth is a leading provider of in-home medical care, offering acute services for common to complex injuries and illnesses. As a Mobile Echocardiography Specialist, you will travel locally to provide diagnostic echocardiogram studies for patients in the comfort of their own homes or at healthcare facilities.Key Responsibilities:Perform...

  • Pain Management Specialist

    1 month ago

    Charleston, United States Incredible Health Full time

    Pain Management Specialist OpportunityIncredible Health is actively hiring for a Pain Management Specialist position in Charleston, SC. This role involves working with nurses experienced in Mytosis and providing exceptional patient care.We offer various shift options, including day, night, and mid shifts, as well as full-time, part-time, and per diem job...

  • Waste Management Specialist

    2 weeks ago

    Charleston, West Virginia, United States Universal Environmental Services, LLC Full time

    We are seeking a highly skilled Waste Management Specialist to join our team at Universal Environmental Services, LLC. As a Waste Management Specialist, you will be responsible for safely collecting and transporting used oil and other liquid waste streams from pick up points to destinations.Our ideal candidate will have a strong background in driving...