Referral Specialist - Full Time

Referral Specialist

This is a full-time, on-site position with working hours from approximately 8:00 AM to 5:00 PM, Monday through Friday, with no night or weekend shifts. The role will be based at our MPA - Women's Oncology practice, located at 3425 University Parkway, Suite 102, Sarasota, FL. The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures Scheduling of other tests with facilities at the request of providers and/or staff. Communicates effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision, and values of the practice.

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. As a Manatee Physician Alliance employee you will be part of a first class organization offering: A challenging and rewarding work environment Competitive compensation & generous paid time off Excellent medical, dental, vision and prescription drug plans 401(K) with company match

Qualifications Education: High school graduate or GED required. Work experience: Minimum of one-three years' experience in a healthcare or clinical setting Knowledge: Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance Knowledge of regulations and HIPAA privacy standards is strongly preferred. Typing, 10 key, and computer skills required. Proficiency in Microsoft Office applications required. Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals is preferred. Knowledge of third-party reimbursement regulations is preferred. Patient management, billing and managed care system processes competency. Understanding of functions and workflow of clinical/hospital departments Skills: Excellent organization skills, attention to detail, research, and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Able to multi-task and meet established time frames. Required effective interpersonal skills and excellent written, oral communication skills required. Service-oriented/customer-centric. Strong teamwork skills Strong computer literacy skills including proficiency in Microsoft Office. Abilities: Ability to handle data entry accurately in a high-paced environment. Ability to reconcile data and identify discrepancies EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Alan B. Miller Medical Center