LEAD MEDICAL REFERRALS SPECIALIST

Responsibilities **This is an on-site position located at 714 Manatee Ave E., Bradenton, FL**Position Summary:Responsible for scheduling referrals for patients, providers, pre-authorizing & pre-certifying 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. The lead is expected to solve problems and make decisions and take escalated calls to triage and manage as appropriate. Coordinates work schedules and absences of team members. Serves as a resource for other members of the team for technical or work challenges. Demonstrates and coaches exceptional patient interaction and following standard process for referral specialist. Assists the Operations Administrator in day-to-day operations to deliver the highest quality care to patients in an efficient manner. A Challenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company matchAbout Universal Health Services (UHS), Inc.One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications Education:High school graduate or GED required. Work experience:Minimum of three-five years' experience in a healthcare or clinical setting. Knowledge: Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance regulations and HIPAA privacy standards is strongly preferred.Typing, ten key and computer skills required. Proficiency in Microsoft Office applications required. Required effective people skills and excellent written, oral communication skills required. Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals is 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 multi-task and meet established time frames.EEO StatementAll 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. We believe that diversity and inclusion among our teammates is critical to our success.NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: