Referral Specialist - Full Time

Universal Health Services, Inc.; Bradenton (FL); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Competitive Compensation

Generous Paid Time Off

Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match

Job summary

Universal Health Services, Inc. is seeking a Referral Specialist in Bradenton, FL. This role entails scheduling patient referrals, managing pre-authorizations for tests, and maintaining effective communication with various healthcare providers. A high school diploma or GED is required along with 1-3 years of healthcare experience. Ideal candidates will have strong organizational skills, proficiency in Microsoft Office, and a solid understanding of clinical terminology. The position offers competitive compensation and generous paid time off, with a focus on creating a diverse and inclusive work environment.

Qualifications

• Minimum of one to three years’ experience in a healthcare or clinical setting.
• Knowledge of clinical terminology, insurance billing, and HIPAA privacy standards.
• Ability to handle data entry accurately in a high-paced environment.

Responsibilities

• Responsible for scheduling referrals for patients and providers.
• Pre-authorizing and pre-certifying tests/procedures.
• Communicates effectively with patients, clinics, and hospitals.

Skills

Excellent organization skills

Attention to detail

Research and problem-solving ability

Effective interpersonal skills

Proficiency in Microsoft Office

Education

High school graduate or GED

Job description

Responsibilities

Location: 316 Manatee Ave W, Bradenton, FL - Candidates must be Local - worksite: In-Person

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.

• 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 to 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. 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; 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. We believe that diversity and inclusion among our teammates is critical to our success.