Referral Management Specialist-Pulmonary and Sleep Medicine Clinic

The Referral Management Specialist 100% Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals. 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 the state of South Carolina.

Job Description Summary

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 the state of 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.

Why You’ll Love Working Here:
Monday–Friday
Predictable daytime schedule
Weekends free
Better work-life balance

Generous Time Off:
31 days beginning your 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 That Work for You:
MUSC Community Physicians contributes 5.15% of your eligible salary directly into your SHARP retirement account.
The best part? That contribution comes from MUSC—not your paycheck. You are not required to contribute your own money to receive the employer contribution.

Additional retirement savings options include:
401(k)
403(b)
457 Plan

Grow Your Career:
Tuition reimbursement
Certification bonus opportunities
Continuing education
Professional development
Opportunities to grow across MUSC Health throughout South Carolina

The Referral Management Specialist 100% 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.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC005010 MCP - Columbia MUSC Pulmonology - Laurel St

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

Work Shift

Job Description

The Referral Management Specialist 100% 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.

Additional Job Description

Education:  High school diploma or equivalent (GED); college degree preferred.  Experience:  Two years of experience in a medical office, call center, patient access area, or customer service in a business environment is required. A college degree may be substituted 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 required. Strong verbal, written, communication, and problem-solving skills. Ability to work in a self-directed manner while interacting with patients, physicians, and departmental partners.  Additional Requirements: Typing speed of 35 CWPM required.

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