Authorization & Referral Specialist - Multiple Locations

UNLV Medicine•Las Vegas, NV

5d•Onsite

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

Legally authorized to work in the United States.
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
May include standing, sitting, and/or walking for extended periods
May include performing repetitive tasks
May include lifting up to 25 pounds

Nice To Haves

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

Responsibilities

Timely processing, submitting, scheduling and follow up of referrals and request for treatment authorizations as required by payer.
Tracks existing referrals by program and payer.
Provide excellent customer service skills with patients, employees, and the public.
Manage a demanding workload with accuracy.