Referral Specialist - Full Time

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.

• 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

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.

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.