Referrals - MOS

UHS•Bradenton, FL

2d•Onsite

About The Position

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. Communicate effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies. 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

Requirements

High school graduate or equivalent.
Job requires being reliable, responsible, dependable, and fulfilling obligations.
Job requires being careful about detail and thorough in completing work tasks.
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
Knowledge of electronic equipment, computer hardware and software, including applications and programming.
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Nice To Haves

Completed a Medical Office Assistant/Specialist program or Medical Assistant program preferred.
Minimum of one year of medical experience preferred.

Responsibilities

Schedules tests and referral appointments within 24 hours from receiving the physician order. Notify patients within 24 hours of their appointment. Pre-certify appropriate tests with insurance companies within 48 hours of physician order. Communicate pre-certification results to the patient and/or office in a timely matter.
Communicate effectively with patients, clinics, and hospitals. Communicate information to appropriate areas, departments, and individuals. Addresses patients in a polite, prompt, and helpful manner. Answer the phone within four (4) rings in a courteous manner identifying self and department.
Demonstrates knowledge and skills to operate EMR software efficiently and effectively. Uses referral tool in EMR for all documentation. Demonstrates knowledge of computer downtime procedures.
Maintains a clean and orderly office and waiting area. Orders supplies for the office within budgetary guidelines. Returns all emails within 48 hours.
Other duties as assigned.
May require travel to other MPA locations in the Bradenton and Lakewood Ranch, FL area