Referral Specialist

Talentify; Sparks (NV); On-site; USD 42,000 - 64,000; Full time

Job summary

Northern Nevada Medical Group in Sparks, NV is seeking a Referral Specialist to coordinate external patient referrals for admission to facility programming. You will evaluate facility capacity and capability to meet patient needs and communicate with clinics, providers, and patients.

Responsibilities include scheduling referrals, pre-authorizing tests, notifying patients, and reporting medical necessity to insurers.

Qualifications

• High school graduate or GED required.
• Communicates effectively with clinics and hospital.
• Communicates information to appropriate areas, departments and individuals.
• Covers at other clinics as a receptionist as requested
• Schedules tests and referral appointments within 24 hours from receiving the physician order.
• Notifies patients within 24 hours of their appointment
• Pre-certify appropriate tests with insurance companies within 48 hours of physician order
• Other duties as assigned

Responsibilities

• Review and coordinate external patient referrals for admission to facility programming.
• Schedule referrals and pre-authorize tests/procedures.
• Communicate with clinics, referred to clinics, and patients.
• Review clinical data to report medical necessity to insurers.
• Handle additional duties as assigned

Skills

Communication

Scheduling

Clerical

Education

High school diploma or GED

Job description

Responsibilities

ABOUT NORTHERN NEVADA MEDICAL GROUP

Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Our providers offer wellness services, family, geriatric and internal medicine, along with specialty care including cardiology, general surgery, podiatry and sleep medicine. 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 selected 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.

Website: http://nnmg.com

The Referral Specialist reviews and coordinates external patient referrals for potential admission to facility programming. Provides accurate evaluation of the facility’s capacity and capability to meet the needs of referred patients.

Job Duties/Responsibilities:

• Scheduling referrals for patients, providers, pre-authorizing & pre-certifying tests/procedures.
• Scheduling of other tests with facilities at the request of providers and/or staff.
• Directly communicates with the clinics, referred to clinics, and patients.
• Reviews clinical data to report medical necessity to insurance companies.
• All other duties as assigned

Benefit Highlights

• 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 and discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition savings to continue your nursing education with Chamberlain University
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Pet Insurance · More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

Requirements:

• High school graduate or GED required.
• Communicates effectively with clinics and hospital.
• Communicates information to appropriate areas, departments and individuals.
• Covers at other clinics as a receptionist as requested
• Schedules tests and referral appointments within 24 hours from receiving the physician order.
• Notifies patients within 24 hours of their appointment
• Pre-certify appropriate tests with insurance companies within 48 hours of physician order
• Other duties as assigned
• Minimum of two years’ experience in a healthcare or clinical setting.

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.