REFERRAL SPECIALIST

Job Description

Responsibilities

ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE

Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as “The Entertainment Capital of the World” and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.

Website:

The Referral Specialist reviews and coordinates external patient referrals for potential admission to facility programming. Provides accurate evaluation of the facility’s capacity and capability to meet the needs of referred patients.

Position Summary:

• Scheduling referrals for patients, providers, pre-authorizing & pre-certifying tests/procedures.
• Scheduling of other tests with facilities at the request of providers and/or staff.
• Directly communicates with the clinics, referred to clinics, and patients.
• Reviews clinical data to report medical necessity to insurance companies.
• All other duties as assigned

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2 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 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.

Benefit Highlights

• A Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• (K) with company match
• Career development opportunities within UHS and its + Subsidiaries!

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 corporation, annual revenues were $.3 billion in 3. 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 , 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.

Qualifications

Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):

Requirements:

• High school graduate or GED required.
• Communicates effectively with clinics and hospital.
• Communicates information to appropriate areas, departments and individuals.
• Covers at other clinics as a receptionist as requested
• Schedules tests and referral appointments within hours from receiving the physician order.
• Notifies patients within hours of their appointment
• Pre-certify appropriate tests with insurance companies within hours of physician order
• Other duties as assigned

Work experience :

• Minimum of two years’ experience in a healthcare or clinical setting.