Talent.com
REFERRAL SPECIALIST
REFERRAL SPECIALISTUHS • Denison, TX, United States
No longer accepting applications
REFERRAL SPECIALIST

REFERRAL SPECIALIST

UHS • Denison, TX, United States
5 days ago
Job type
  • Full-time
Job description

Responsibilities

About Texoma Care

Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region's leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas / Fort Worth metroplex and just south of the Texas / Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.

The Referral Specialist is r esponsible for scheduling referrals for patients, providers, pre-authorizing & pre-certing 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. Performs all work in accordance with the mission, vision, and values of the practice.

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 that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 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 TexomaCare employee , you will be part of a first-class organization offering :

Challenging and rewarding work environment

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision, and Prescription Drug Plans

401(K) with company match and discounted stock plan

Career development opportunities within UHS and its 300+ Subsidiaries!

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE : UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

Education :

  • High school graduate or GED required.

Work experience : Minimum of two years' experience in a healthcare or clinical setting.

Knowledge :

  • Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, and federal and state insurance Regulations and HIPAA privacy standards is strongly preferred.
  • Typing, 10-key, and computer skills required.
  • Proficiency in Microsoft Office applications required.
  • Required effective interpersonal skills and excellent written, oral communication skills.
  • Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals are preferred. Knowledge of third-party reimbursement regulations is preferred.
  • Patient Management, Billing, and Managed Care system processes competency. Understanding of functions and workflow of Clinical / Hospital departments.
  • Excellent planning and organizational skills. Demonstration of strong analytical skills and problem-solving abilities. Strong teamwork skills and the ability to effectively communicate with all management levels.
  • Results-oriented, independently goal-directed, able to multitask and meet established time frames.
  • Excellent customer service skills and must be able to work independently
  • 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.

    Avo id and Report Recruitment Scams

    We are aware of a scam whereby impostors are posing as Recruiters from UHS and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

    Create a job alert for this search

    Referral Specialist • Denison, TX, United States

    Related jobs
    Reserve Entomologist

    Reserve Entomologist

    US Army • Anna, TX, United States
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
    Last updated: 30+ days ago • Promoted
    Reserve Anesthesiologist

    Reserve Anesthesiologist

    United States Army • Melissa, TX, US
    Permanent
    Army Anesthesiologists are critical to the preoperative care of Soldiers and their families; before, during and after surgery. If you are a professional in the anesthesiology field and want to combi...Show more
    Last updated: 30+ days ago • Promoted
    Logistics Specialist

    Logistics Specialist

    U.S. Navy • Fink, TX, United States
    Full-time
    ABOUT The success and safety of every mission depend on getting needed supplies, materials, and equipment at a moment’s notice. The service members of the Purchasing, Supply & Logistics community ma...Show more
    Last updated: 12 days ago • Promoted
    Remote Writing Specialist

    Remote Writing Specialist

    Outlier • Sherman, TX, United States
    Remote
    Full-time
    Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more
    Last updated: 5 hours ago • Promoted • New!
    Refrigeration Specialist B Shift

    Refrigeration Specialist B Shift

    Tyson Foods • Sherman, TX, US
    Full-time
    Certain roles at Tyson require background checks.If you are offered a position that requires a background check you will be provided additional documentation to complete once an offer has been exte...Show more
    Last updated: 2 days ago • Promoted
    Deployment Specialist

    Deployment Specialist

    Modular Power Solutions • Sherman, TX
    Full-time
    Quick Apply
    Whether you're a recent grad or a seasoned professional, you can experience meaningful career growth at MPS.Enjoy a true sense of ownership as you work with a proven industry leader on some of the ...Show more
    Last updated: 30+ days ago
    Remote Brand Feedback Specialist (Hiring Immediately)

    Remote Brand Feedback Specialist (Hiring Immediately)

    Earn Haus • Little Elm, TX, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 11 hours ago • Promoted • New!
    Client Acquisition Specialist

    Client Acquisition Specialist

    Legacy Harbor Advisors • Denton, TX, US
    Full-time
    Quick Apply
    Accelerate Your Career with Us!.Are you a driven individual looking for a flexible and rewarding sales career?.Join our team as a Remote Client Acquisition Specialist and leverage our exceptional c...Show more
    Last updated: 30+ days ago
    Collections Specialist - Denison Tx

    Collections Specialist - Denison Tx

    Caine and Weiner • Denison, TX, United States
    Full-time
    WE ARE SEEKING MOTIVATED INDIVIDUALS WITH GREAT ENERGY WHO ARE LOOKING TO BUILD A CAREER WITH US!.Caine & Weiner is one of the oldest agencies in the US, established in 1930.We enhance cash flow fo...Show more
    Last updated: 14 days ago • Promoted
    Part-time Insurance Verification Specialist - Remote

    Part-time Insurance Verification Specialist - Remote

    Globe Life Inc. • USA, Texas, McKinney
    Remote
    Full-time
    Part-time Insurance Verification Specialist - Remote.Primary Duties & Responsibilities.Insurance Verification Specialist. The Quality Assurance Department is responsible for verifying life and healt...Show more
    Last updated: 30+ days ago
    Call Center Specialist

    Call Center Specialist

    Vyora International • McKinney, Texas, United States
    Remote
    Full-time +1
    Quick Apply
    Are you a great communicator who enjoys helping people? Join our growing remote support team and start your career in customer service — no previous experience needed! We provide full training, fle...Show more
    Last updated: 30+ days ago
    Accounting Specialist

    Accounting Specialist

    Umbrella BPO • Denton, TX, US
    Full-time
    Company : Umbrella BPO & Client Companies.Overview : As an Accounting Specialist at Umbrella BPO, you will play a vital role in managing and maintaining accurate financial records for our clients.You...Show more
    Last updated: 12 days ago • Promoted
    Insurance Benefits Specialist- 100% Remote

    Insurance Benefits Specialist- 100% Remote

    Global Elite • Denton, TX, US
    Remote
    Full-time
    Insurance Benefits Specialist- 100% Remote.Now is the best time to join full-time remote completely work from home.All benefits representatives start at entry level and move up! Suggested schedule ...Show more
    Last updated: 30+ days ago • Promoted
    Reserve Preventive Medicine Officer

    Reserve Preventive Medicine Officer

    United States Army • Anna, TX, US
    Permanent
    Army Preventive Medicine Officers are key to the prevention of disease and injury to our Soldiers and their families.If you are a professional in the preventive medicine field and want to combine y...Show more
    Last updated: 30+ days ago • Promoted
    Reserve Entomologist

    Reserve Entomologist

    United States Army • Anna, TX, United States
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
    Last updated: 11 days ago • Promoted
    Travel CT Technologist

    Travel CT Technologist

    ProLink Allied • Madill, OK, US
    Full-time
    ProLink Allied is seeking a travel CT Technologist for a travel job in Madill, Oklahoma.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to c...Show more
    Last updated: 30+ days ago • Promoted
    Technical Specialist

    Technical Specialist

    United Ag & Turf • Van Alstyne, TX, United States
    Full-time
    Manages technical service operations within UAT to maximize return on investment by optimizing Service Department processes to ensure internal and external customer satisfaction.Minimizing downtime...Show more
    Last updated: 30+ days ago • Promoted
    Reserve OBGYN

    Reserve OBGYN

    United States Army • Denton, Texas, United States
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
    Last updated: 30+ days ago • Promoted