Referral Specialist - Full Time

Manatee Healthcare System; Sarasota (FL); On-site; USD 34,000 - 50,000; Full time

Job summary

Manatee Healthcare System is seeking a Referral Specialist to coordinate patient referrals, obtain pre-authorizations, and manage test scheduling at the Sarasota, FL site. The role emphasizes accurate data entry, HIPAA compliance, and collaboration with care teams.

Ideal candidates will have 1–3 years of healthcare experience, strong Microsoft Office skills, and a customer-centric approach to support efficient patient care processes.

Qualifications

• High school diploma or GED required.
• 1–3 years in healthcare/clinical setting.
• Knowledge of clinical terminology and HIPAA.
• Typing, 10-key and general computer skills.
• Proficiency in Microsoft Office.
• Understanding of clinical/hospital workflows.
• Knowledge of insurance billing and coding.

Responsibilities

• Schedule referrals for patients and providers.
• Pre-authorize and pre-certify tests.
• Coordinate tests with facilities as requested by providers/staff.
• Communicate with patients, clinics, and hospitals.
• Review clinical data to determine medical necessity for insurance.
• Adhere to mission, vision and values of the practice.

Skills

Organization

Attention to detail

Research skills

Problem solving

Multitasking

Interpersonal skills

Communication skills

Teamwork

Customer service

Microsoft Office

Data entry

Education

High school diploma or GED

Tools

Typing

10-key

Computer skills

Microsoft Office

Job description

Responsibilities

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

About Universal Health Services (UHS), Inc.

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington D.C., Puerto Rico and the United Kingdom. www.uhs.com

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

Notice:

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job‑related email mentioning UHS or its subsidiaries, let us know by contacting us at:https://uhs.alertline.comor 1-800-852- 3449