Referral and Insurance Specialist – Plastic Surgery

Roper St. Francis Healthcare

. Obtain authorizations from insurance companies and pharmacy benefit managers for referrals, procedures, testing, and medications .

Posted 9/28/2026full-timeMount Pleasant • South Carolina • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical referral processing, insurance verification, and patient billing systems, ensuring accurate data entry and effective communication with patients and healthcare providers. Strong organizational skills and attention to detail are essential for managing multiple tasks and maintaining patient records.

Highest-signal resume keywords

Medical Referral ProcessingInsurance VerificationPatient Billing SystemsCustomer ServiceAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Referral ProcessingInsurance VerificationPatient BillingData EntryCharge PostingError ResolutionCoding AssistanceComputer ProficiencyAppointment SchedulingEligibility Verification

Soft Skills

Excellent Customer ServiceActive ListeningVerbal CommunicationWritten CommunicationOrganizational Skills

Industry Keywords

Patient DemographicsInsurance CoverageReferral AuthorizationsBilling InformationCharge SlipsDSS Office ReferralsInterdepartmental RelationshipsTelephone EtiquetteProgress NotesTesting Reports

About the role

Key responsibilities & impact

Obtain authorizations from insurance companies and pharmacy benefit managers for referrals, procedures, testing, and medications
Verify patient eligibility and coverage via phone, fax, and Internet
Schedule testing and physician appointments
Gather and enter patient demographic, charge, insurance, and billing information into computer systems
Post payments, collect balances and copayments, reconcile charge slips, and make daily deposits
Investigate billing problems and denials and assist with account resolution
Notify patients about referral status and provide instructions
Answer telephones, take messages, schedule appointments, and greet patients
Prepare charge encounter forms and update patient charts
Coordinate patient movement and oversee the waiting area
Screen visitors and respond to routine information requests
Organize and file progress notes, testing reports, and patient charts
Assist with coding, error resolution, and obtaining information from physician offices
Refer patients to the local DSS office when appropriate
Promote positive interpersonal and interdepartmental relationships

Requirements

What you’ll need

1 year+ of medical referral and insurance verifications is required
High School Diploma or GED (required)
2-3 years of experience in a related medical field with experience in processing referrals (preferred)
Attention to detail
Organized
Ability to multi-task
Excellent customer service
Active Listening
Verbal Communication
Written Communication
Process Requests
Telephone etiquette
Computer proficiency
Ability to travel to all locations during the first 6 months and rotate between locations thereafter
Ability to car travel to off-site locations occasionally in adverse weather conditions
Ability to work Monday–Thursday, 7:30am–4:30pm and Fridays, 7:30am–2:00pm
Ability to work with patient billing, insurance, referrals, authorizations, and computer billing systems
Licensing/Certification: None
Training: None
Language: None

Benefits

Comp & perks

Competitive pay
Incentives
Referral bonuses
403(b) with employer contributions (when eligible)
Medical, dental, vision, and prescription coverage
HSA/FSA options
Life insurance
Mental health resources and discounts
Paid time off
Parental and FMLA leave
Short- and long-term disability
Tuition assistance
Professional development and continuing education support