Referral Management Specialist-Pulmonary and Sleep Medicine Clinic
MUSC Health · Columbia, SC · 1 mo ago
On-siteHealthcareFull-time
About the role
MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout South Carolina. If you’re ready to build a career that combines innovation, compassion, and purpose, we invite you to apply today and become part of the MUSC Health team.
Responsibilities
- Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals.
- Conducts online insurance eligibility/benefit verification.
- Obtains pre‑certification/authorization and referral clearance.
- Provides financial education on designated cases.
- Notifies patient/guarantor, specialist, referring provider, etc., with pertinent information (clinical documentation, referral status, follow‑up, etc.).
Requirements
- High school diploma or equivalent (GED); college degree preferred.
- Two years of experience in a medical office, call center, patient access area, or customer service in a business environment (college degree may substitute 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.
- Strong verbal, written, communication, and problem‑solving skills.
- Ability to work in a self‑directed manner while interacting with patients, physicians, and departmental partners.
- Typing speed of 35 CWPM required.
Benefits
- Generous Time Off: 31 days beginning first year, 33 days after four years, 38 days after eight years.
- Outstanding Benefits: Affordable medical insurance; FREE employee dental insurance; Vision insurance starting around $6/month; Short‑term disability; Long‑term disability; Optional term life insurance starting around $0.40/month.
- Retirement Benefits: MUSC Community Physicians contributes 5.15% of eligible salary directly into your SHARP retirement account (employer‑funded, no employee contribution required). Additional retirement savings options include 401(k), 403(b), 457 Plan.
- Career Growth: Tuition reimbursement; Certification bonus opportunities; Continuing education; Professional development; Opportunities to grow across MUSC Health throughout South Carolina.
Schedule
- Monday–Friday predictable daytime schedule.
- Weekends free.
- Scheduled weekly hours: 40.