Referral Specialist- MOS

UHS•Bradenton, FL

85d•Onsite

About The Position

Manatee Physician Alliance is a multi-specialty physician group that offers Primary Care, Cardiology, General and Bariatric Surgery. Our team of physicians, advanced practitioners and staff deliver quality and compassionate care in a collaborative patient focused approach. We value our employees’ contributions and offer advancement opportunities. The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures. This role involves scheduling other tests with facilities at the request of providers and/or staff, and communicating effectively with patients, clinics, and hospitals. The specialist reviews clinical data to report medical necessity to insurance companies. Independence Physician Management (IPM), a subsidiary of UHS, operates in 11 markets across six states and the District of Columbia, providing select services for the Behavioral Health division of UHS and managing multi-specialty physician networks and urgent care clinics. As a Manatee Physician Alliance employee, you will be part of a first-class organization offering a challenging and rewarding work environment, competitive compensation, generous paid time off, and excellent medical, dental, vision, and prescription drug plans, along with a 401(K) with company match. Universal Health Services (UHS), Inc. is one of the nation’s largest and most respected providers of hospital and healthcare services, a Fortune 500 corporation with annual revenues of $14.3 billion in 2023. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network, and related services across the U.S., Washington D.C., Puerto Rico, and the United Kingdom.

Requirements

High school graduate or equivalent.
Minimum of one year of medical experience preferred.
Job requires being reliable, responsible, dependable, and fulfilling obligations.
Job requires being careful about detail and thorough in completing work tasks.
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
Knowledge of electronic equipment, computer hardware and software, including applications and programming.
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

Nice To Haves

Completed a Medical Office Assistant/Specialist program or Medical Assistant program preferred.

Responsibilities

Schedules tests and referral appointments within 24 hours from receiving the physician order.
Notifies patients within 24 hours of their appointment.
Pre-certifies appropriate tests with insurance companies within 48 hours of physician order.
Communicates pre-certification results to the patient and/or office in a timely manner.
Communicates effectively with patients, clinics, and hospitals.
Communicates information to appropriate areas, departments, and individuals.
Addresses patients in a polite, prompt, and helpful manner.
Answers the phone within four (4) rings in a courteous manner identifying self and department.
Demonstrates knowledge and skills to operate EMR software efficiently and effectively.
Uses referral tool in EMR for all documentation.
Demonstrates knowledge of computer downtime procedures.
Maintains a clean and orderly office and waiting area.
Orders supplies for the office within budgetary guidelines.
Returns all emails within 48 hours.
Other duties as assigned.
May require travel to other MPA locations in the Bradenton and Lakewood Ranch, FL area.