Referral Specialist

Prisma Health
United States, South Carolina, Chapin
Jun 10, 2025
Inspire health. Serve with compassion. Be the difference. Job Summary Ensures accurate and complete physician referrals to be processed in timely manner. Works closely with management, nursing, physicians, to capture all incoming and outgoing referrals. Maintains customer service and teamwork goals within the department. Assumes decision making responsibilities as directed by manager/supervisor Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Obtains and/or assign referrals for new patients coming into the office as well as maintaining referrals for existing patients. Participates in insurance training sessions to increase knowledge and maintain compliance with guidelines. Learns insurance rules and regulations as it relates to federal, state, and managed care payers in multiple states. Maintains and/or request and receive authorizations for patients for procedures in office and for those procedures that are referred outside the office. Provides documentation when needed to support procedures referred out. Answers telephone, screens call, takes messages and provides information promptly and courteously to patients and providers offices. Assists patients and visitors in a prompt, courteous and helpful manner Schedules in office & out going procedure appointments. Maintains appointment schedules in accordance with established policies Supports front desk, counselor and others, as needed. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent Experience - Two (2) years in admissions,physicianoffice, billing company or insurancecompany. In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Medical terminology Knowledge of office equipment Proficient computer skills (word processing, spreadsheets, database) Data entry skills Mathematical skills Excellent interpersonal skills. Previous experience with Epic preferred Previous experience with referral via electronic medical records preferred Work Shift Day (United States of America) Location Family Medicine - Chapin Facility 3160 Family Medicine 105 Ellet Road - Chapin Department 31601000 Family Medicine 105 Ellett Road - Chapin Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.