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Referral Specialist
Career Insights for Registrar / Patient Service Representative
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Scorecard
Based on South Carolina data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$42,627 / year median in South Carolina
+10% projected growth
Job Description
Essential Responsibilities Process referrals for specialty care, diagnostic testing, imaging, and other ancillary services in a timely manner. Obtain insurance authorizations and verify eligibility in accordance with payer requirements. Schedule appointments with specialists and communicate appointment details to patients. Coordinate follow-up care and ensure referral completion. Monitor referral work queues and maintain accurate documentation within the electronic health record (EHR). Communicate effectively with providers, clinical staff, specialists, hospitals, and insurance companies regarding referral status. Educate patients on referral processes and assist with navigating healthcare resources. Follow up on incomplete referrals and obtain consultation reports for the patient's medical record. Maintain confidentiality in accordance with HIPAA regulations. Assist with quality improvement initiatives related to referral management and patient access. Perform other duties as assigned. Required High school diploma or GED. Minimum of one (1) year of experience in a medical office, healthcare setting, or referral coordination. Knowledge of medical terminology. Experience working with electronic health records (EHR). Strong organizational, communication, and customer service skills. Ability to manage multiple priorities in a fast-paced environment. Preferred Associate degree in Healthcare Administration or related field. Certified Medical Assistant (CMA) credential preferred. Experience in a Federally Qualified Health Center (FQHC), primary care, or community health setting. Experience obtaining insurance authorizations and working with Medicaid, Medicare, and commercial insurance plans. At Family Health Centers Inc., we are committed to providing high-quality, patient-centered healthcare to all members of our community, regardless of their ability to pay. We are seeking a compassionate, organized, and detail-oriented Referral Specialist to join our team. The Referral Specialist plays a vital role in ensuring patients receive timely access to specialty care and diagnostic services. This position is responsible for coordinating referrals, obtaining prior authorizations, scheduling specialty appointments, and serving as a liaison between patients, providers, specialists, and insurance companies. The ideal candidate is committed to delivering exceptional customer service while supporting continuity of care for diverse patient populations.