Job Description Summary
The Referral Management Specialist reports to the Manager, Call Center Operations. Under general supervision, the Referral Management Specialist I 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 for multiple specialties and primary care physicians in a call center environment utilizing an automated scheduling system. 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
CC005114 ORBG - Patient Access Center
Pay Rate Type
Hourly
Pay Grade
Health-21
Scheduled Weekly Hours
40
Work Shift
Job Description
The Referral Management Specialist reports to the Manager, Call Center Operations . Under general supervision, the Referral Management Specialist I 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 for multiple specialties and primary care physicians in a call center environment utilizing an automated scheduling system. 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
Education: High school diploma or equivalent (GED); college degree preferred.
Work Experience : Two years of experience in a medical office, call center, patient access area, or customer service in a business environment is required. 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.
Physical Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands.…