Referral Specialist - Full Time

About the role

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.

Responsibilities

• Schedule referrals for patients and providers, and pre-authorize and pre-certify tests/procedures.
• Schedule other tests with facilities at the request of providers and/or staff.
• Communicate effectively with patients, clinics, and hospitals.
• Review clinical data to report medical necessity to insurance companies.

Qualifications

• High school graduate or GED required.
• Minimum of one to three years’ experience in a healthcare or clinical setting.
• Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance regulations.
• Strong 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.
• Knowledge of third-party reimbursement regulations.
• 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.
• 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.
• Ability to handle data entry accurately in a high-paced environment.
• Ability to reconcile data and identify discrepancies.

Benefits

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.

Pay

Details about pay are not specified in this posting.

Schedule

The role is full-time, on-site with working hours from approximately 8:00 AM to 5:00 PM, Monday through Friday, with no night or weekend shifts.

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.

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.