Referral Specialist- MOS

Location: 714 Manatee Ave E, Bradenton – worksite: In-Person

About Manatee Physician Alliance

Manatee Physician Alliance is a multi-specialty physician group that offers Primary Care, Cardiology, General and Bariatric Surgery. Our team of physicians, advanced practitioners, and staff deliver quality and compassionate care in a collaborative, patient-focused approach. We value our employees’ contributions and offer advancement opportunities.

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.

About the Role

The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures. This includes scheduling other tests with facilities at the request of providers and/or staff, and communicating effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies.

Responsibilities

• Schedules tests and referral appointments within 24 hours from receiving the physician order.
• Notifies patients within 24 hours of their appointment.
• Pre-certifies appropriate tests with insurance companies within 48 hours of physician order.
• Communicates pre-certification results to the patient and/or office in a timely manner.
• Communicates effectively with patients, clinics, and hospitals.
• Communicates information to appropriate areas, departments, and individuals.
• Addresses patients in a polite, prompt, and helpful manner.
• Answers 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.

Requirements

• Education: High school graduate or equivalent. Completed a Medical Office Assistant/Specialist program or Medical Assistant program preferred.
• Minimum of one year of medical experience preferred.
• 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, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Benefits

• 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