Authorization & Referral Specialist

UNLV Medicine • Las Vegas, NV

10d

About The Position

The Authorization and Referral Specialist is responsible for the timely processing, submitting, scheduling and follow up of referrals and request for treatment authorizations as required by payer. The Authorization and Referral Specialist tracks existing referrals by program and payer. The Authorization and Referral Specialist position requires excellent customer service skills with patients, employees, and the public. Individual must also be flexible, organized and must be able to manage a demanding workload with accuracy. Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions.

Requirements

• High School Diploma or equivalency
• Two years in the medical field to include front office, appointment scheduling and referral authorization
• Must be Bilingual English/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 wpm

Nice To Haves

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

Responsibilities

• processing referrals
• submitting referrals
• scheduling referrals
• following up on referrals
• processing requests for treatment authorizations
• submitting requests for treatment authorizations
• following up on requests for treatment authorizations
• tracking existing referrals by program and payer

Benefits

• Working Monday through Friday, 8AM to 5PM. (Actual hours may vary depending on business need)
• 12 Paid Holidays per year, starting with your first day of employment!
• 20 + PTO days per year! (Depending on Position)
• 3% 401K Contribution, even if you do not contribute!
• Medical, Dental, and Vision benefits that start the first of the month following your start date!
• And more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees