Top 35 Quality improvement specialist Jobs in Myrtle Beach, Sc

Referral Specialist
HEALTH CARE PARTNERS —Conway, SC
- Full-time
- Customer service
- HIPAA
- Mid-level
Quick Apply
Permitting Specialist
Westshore Home —Conway, SC
- $20 - $25 an hour
- Full-time
- Background check
- Customer service
- Pass drug screening
- Paid training
- Health savings account
Quick Apply
10d
Referral Specialist
Health Care Partners of South Carolina —Conway, SC
- $18 - $20 an hour
- Full-time
- Customer service
- BLS Certification
- HIPAA
- 403(b) matching
- Health savings account
Quick Apply
11d
Clinical Specialist-Physical Therapist
Georgetown Hospital System —Murrells Inlet, SC
- 8 hour shift
- Doctoral degree
- BLS Certification
- Physical & Rehabilitation Medicine
Quick Apply
Clinical Specialist – Lymphedema
Georgetown Hospital System —Murrells Inlet, SC
- 8 hour shift
- Doctoral degree
- BLS Certification
- Physical & Rehabilitation Medicine
Quick Apply
Manager of Technical Sales Specialists - Cell and Gene Therapy - Remote, Northeast
Sartorius —United States
- $140,000 - $180,000 a year
- Full-time
- Remote
- Up to 50% travel
- Product management
- Travel
- Health savings account
- AD&D insurance
Computational Engineering Expert - AI trainer
micro1 —United States
- $20 - $60 an hour
- Contract
- Remote
- No experience needed
- Master's degree
- Analysis skills
- Flexible schedule
Field Performance Specialist (USA)
Hendrix Genetics —United States
- Full-time
- 7 years
- Master's degree
- Analysis skills
- On-the-job training
Quick Apply
NH Corps Trail and Program Operations Specialist - Staff
Student Conservation Association, Inc —United States
- $55,000 - $63,000 a year
- Full-time
- Hybrid work
- Carpentry
- CPR Certification
- Management
- 403(b) matching
- Paid parental leave
EDW Medicaid Subject Matter Expert/Data Specialist
Vytwo —United States
- Full-time
- Remote
- Writing skills
- DevOps
- SQL
Quick Apply
CUDA Engineering Expert - AI Trainer
micro1 —United States
- $60 - $100 an hour
- Contract
- Remote
- No experience needed
- Mid-level
- Analysis skills
- Flexible schedule
3d
DRG Integrity Specialist
Accuity —United States
- Full-time
- Research
- Mid-level
- Windows
Quick Apply

Discover related jobs

Based on your search for quality improvement specialist jobs.

Vice President of Sales and Marketing
Confidential —Conway, SC
Lead, coach, and develop a team of sales managers based in the Midwest and Northeast, who in turn manage a mix of direct reps and independent manufacturers'…
From $200,000 a year
Quick Apply
2d
Sales Director - Senior Living
Brightwater —Myrtle Beach, SC
Make follow-up calls to prospective residents to maintain contact as they work through their decision-making process. High school graduation or GED required.
From $150,000 a year
Quick Apply
9d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Quality Improvement Specialist
PrimaryOne Health —Columbus, OH
Successful candidates must have an active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Ohio.
Quality Improvement Specialist
Sevita —Columbus, OH
Current driver's license, car registration, and auto insurance. Experience in quality improvement or other related social services field is required.
$45,000 a year
1d

Show more jobs in cities nearby

I want to receive the latest job alert for quality improvement specialist in myrtle beach, sc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

quality improvement specialist jobs near myrtle beach, sc

Referral Specialist

HEALTH CARE PARTNERS -
Conway, SC

Quick Apply

Job Details

Full-time

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Referral Specialist

Department: Nursing
Reports To: Director of Nursing

Position Summary

The Referral Specialist coordinates patient referrals to specialty providers and ancillary services to ensure timely access to medically necessary care. This position works closely with providers, patients, specialists, hospitals, and insurance companies to obtain referrals, authorizations, and appointments while promoting continuity of care. The Referral Specialist serves as a resource for patients throughout the referral process and helps ensure referrals are completed accurately and efficiently.

Essential Duties and Responsibilities

Coordinate and process referrals to specialists, diagnostic testing, and ancillary services in accordance with HCPSC policies and provider orders.
Obtain prior authorizations and insurance approvals required for specialty services, procedures, and diagnostic testing.
Schedule referral appointments and communicate appointment details, preparation instructions, and follow-up information to patients.
Collaborate with providers, specialists, hospitals, and insurance companies to facilitate timely referral processing and continuity of care.
Track referral status to ensure appointments are completed and consultation reports are received and incorporated into the patient’s Electronic Health Record (EHR).
Verify and update patient demographic, insurance, and referral information to ensure accurate processing.
Maintain accurate documentation of referrals, authorizations, communications, and patient follow-up activities within the Electronic Health Record (EHR).
Respond to patient questions regarding referrals, authorizations, and specialty appointments while providing excellent customer service.
Assist with resolving referral, insurance, and billing issues related to specialty care.
Maintain patient confidentiality and protect health information in accordance with HIPAA and organizational policies.
Participate in required trainings, staff meetings, and quality improvement initiatives.
Perform other duties as assigned.

Education & Experience

High school diploma or equivalent required.
Certified Medical Assistant (CMA or CCMA) certification preferred but not required.
Minimum of two (2) years of experience in referral coordination, medical office operations, patient access, care coordination, or a related healthcare setting preferred.
Experience obtaining prior authorizations, insurance verification, or coordinating specialty referrals preferred.
Experience working in a Federally Qualified Health Center (FQHC) or community health center preferred.
Experience using Electronic Health Record (EHR) systems preferred.

Knowledge, Skills, and Abilities

Knowledge of referral coordination, prior authorization processes, insurance verification, and medical terminology.
Knowledge of HIPAA regulations and the ability to maintain the confidentiality, security, and integrity of patient information.
Strong organizational, communication, and customer service skills with the ability to manage multiple priorities in a fast-paced healthcare environment.
Proficiency in Microsoft Office and Electronic Health Record (EHR) systems.
Ability to collaborate effectively with providers, specialists, hospitals, insurance companies, and interdisciplinary healthcare teams.

Ability to exercise sound judgment, solve problems effectively, and maintain accurate documentation.

Quick Apply

Refine Your Search

quality improvement specialist jobs in myrtle beach, sc

Referral Specialist

Permitting Specialist

Referral Specialist

Clinical Specialist-Physical Therapist

Clinical Specialist – Lymphedema

Manager of Technical Sales Specialists - Cell and Gene Therapy - Remote, Northeast

Computational Engineering Expert - AI trainer

Field Performance Specialist (USA)

NH Corps Trail and Program Operations Specialist - Staff

EDW Medicaid Subject Matter Expert/Data Specialist

CUDA Engineering Expert - AI Trainer

DRG Integrity Specialist

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for quality improvement specialist in myrtle beach, sc

Explore jobs in more locations

Referral Specialist

Position Summary

Essential Duties and Responsibilities

Education & Experience

Knowledge, Skills, and Abilities

Job Seeker Tools

Employer Tools

Browse

Stay Connected