Referral Specialist - Full Time

Manatee Memorial Hospital; Bradenton (FL); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Competitive compensation

Generous paid time off

Excellent medical, dental, vision, and prescription plans

401(k) with company match

Job summary

Manatee Memorial Hospital is seeking a qualified candidate for a healthcare position in Bradenton, Florida. Responsibilities include scheduling referrals, communicating with patients and providers, and reviewing clinical data for insurance. Candidates must have at least a high school diploma or GED and 1-3 years' experience in a healthcare setting, with strong skills in Microsoft Office and effective communication. The position offers a competitive salary and benefits, including generous paid time off.

Qualifications

• Minimum of one to three years' experience in a healthcare or clinical setting.
• Knowledge of clinical terminology and insurance billing.
• HIPAA privacy standards knowledge preferred.

Responsibilities

• Schedule referrals for patients and providers.
• Review clinical data for insurance needs.
• Communicate effectively with patients and providers.

Skills

Excellent organization

Attention to detail

Effective interpersonal skills

Proficient in Microsoft Office applications

Problem-solving ability

Education

High school graduate or GED

Job description

Responsibilities

Scheduling referrals for patients and providers, pre-authorizing and pre-certifying tests and procedures, scheduling additional tests with facilities at the request of providers and/or staff. Communicates effectively with patients, clinics, and hospitals. Reviews clinical data to determine medical necessity for insurance companies. Performs all work in accord with the mission, vision, and values of the practice.

Location: 316 Manatee Ave W, Bradenton, FL – Candidates must be local. Work site is in‑person.

Benefits

• A challenging and rewarding work environment
• Competitive compensation and 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 to three years’ experience in a healthcare or clinical setting.

Knowledge:

• Clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance regulations.
• HIPAA privacy standards (preferred).
• Typing, 10‑key, and computer skills required.
• Proficiency in Microsoft Office applications required.
• Acute healthcare knowledge and ability to evaluate clinical data for pre‑authorizations and referrals (preferred).
• Knowledge of third‑party reimbursement regulations (preferred).
• Patient management, billing, and managed‑care system processes competency.
• Understanding of functions and workflow of clinical/hospital departments.

Skills:

• Excellent organization, attention to detail, research, and problem‑solving ability.
• Results oriented with a proven track record of accomplishing tasks within a high‑performing team environment.
• Ability to multi‑task and meet established time frames.
• Effective interpersonal and excellent written and oral communication skills.
• 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 and reconcile data to 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. We believe that diversity and inclusion among our teammates is critical to our success.