Authorization & Referral Specialist - Various Locations

UNLV Medicine • Las Vegas, NV

3d

About The Position

The Authorization and Referral Specialist is responsible for timely processing, submitting, scheduling, and following up on referrals and requests for treatment authorizations as required by payers. The specialist tracks existing referrals by program and payer and provides excellent customer service to patients, employees, and the public. The role requires flexibility, organization, and the ability to manage a demanding workload accurately. Candidates must be legally authorized to work in the United States; UNLV Health does not provide employment sponsorships or sponsorship transfers.

The position is described as working Monday through Friday, 8:00 AM to 5:00 PM, though actual hours may vary depending on business needs.

Requirements

• High school diploma or equivalency.
• Two years of experience in the medical field, including front office, appointment scheduling, and referral authorization.
• Bilingual in English and Spanish.
• Knowledge of health plans, eligibility, and guidelines.
• Demonstrated ability to read, write, and speak English.
• Demonstrated ability to use a computer.
• Minimum typing speed of 35 words per minute.
• Must be legally authorized to work in the United States.

Nice To Haves

• Experience with the Seriously Mentally Ill population.
• Knowledge of ICD-9 and CPT billing codes.

Responsibilities

• Process, submit, schedule, and follow up on referrals and treatment authorization requests as required by payers.
• Track existing referrals by program and payer.
• Provide customer service to patients, employees, and the public.
• Manage a demanding workload accurately.

Benefits

• 12 full-day and 2 half-day paid holidays per year, starting with the first day of employment.
• 20 PTO days per year, depending on position.
• 3% 401(k) contribution, even if the employee does not contribute.
• Medical, dental, and vision benefits starting the first of the month following the start date.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED