Referral Specialist jobs in Las Vegas, NV

Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations. Additionally, Referral Specialist resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. May require an associate degree. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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REFERRAL SPECIALIST
  • UHS
  • HENDERSON, NV FULL_TIME
  • Responsibilities

    ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE

     

    Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as “The Entertainment Capital of the World” and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.

     

    Website: https://valleyhealthphysicians.com/

     

    The Referral Specialist reviews and coordinates external patient referrals for potential admission to facility programming.  Provides accurate evaluation of the facility’s capacity and capability to meet the needs of referred patients.

     

    Position Summary:

     

    • 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.
    • All other duties as assigned

     

    Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

     

    Benefit Highlights

    • A Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match
    • Career development opportunities within UHS and its 300 Subsidiaries!

     

     

    About 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 $14.3 billion in 2023. 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 96,700 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

    Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):

     

    Requirements:

    • High school graduate or GED required.
    • Communicates effectively with clinics and hospital.
    • Communicates information to appropriate areas, departments and individuals.
    • Covers at other clinics as a receptionist as requested
    • Schedules tests and referral appointments within 24 hours from receiving the physician order.
    • Notifies patients within 24 hours of their appointment
    • Pre-certify appropriate tests with insurance companies within 48 hours of physician order
    • Other duties as assigned

     

    Work experience:

    • Minimum of two years’ experience in a healthcare or clinical setting.

     

    EEO Statement

     

    All 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.

     

    Notice

     

    At 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: https://uhs.alertline.com or 1-800-852- 3449

     

    Pay Transparency

     

    To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.

  • 5 Days Ago

U
REFERRAL SPECIALIST
  • UHS
  • LAS VEGAS, NV FULL_TIME
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Veg...
  • 5 Days Ago

E
Referral specialist
  • Elevance Health
  • Las Vegas, NV FULL_TIME
  • Job Description Crisis and Referral Specialist Location : Remote A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior c...
  • 7 Days Ago

U
REFERRAL SPECIALIST
  • Universal Health Services, Inc.
  • Henderson, NV FULL_TIME
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Veg...
  • 1 Month Ago

S
Referral Administrative Specialist
  • St. Anthony's Hospice
  • Henderson, NV FULL_TIME
  • Referral Administrative Specialist Classification: Full-Time, Non-Exempt Reports to: Director of Medical Services Position Summary: The Referral Specialist facilitates communication between referral s...
  • 3 Days Ago

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Bilingual Pedo-Ortho Referral Specialist
  • Choice Healthcare Services
  • North Las Vegas, NV FULL_TIME
  • Overview Have you had a positive impact on someone’s life today? Do you enjoy bringing smiles to children and their families? At CHOICE Healthcare Services, our mission is to provide everyone access t...
  • 1 Month Ago

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0 Referral Specialist jobs found in Las Vegas, NV area

U
REFERRAL SPECIALIST
  • UHS
  • Henderson, NV
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often ...
  • 3/18/2024 12:00:00 AM

T
Continuous Improvement Specialist
  • The Judge Group
  • Las Vegas, NV
  • Our client is currently seeking a Continuous Improvement Specialist in the Salt Lake City area.Responsibilities: Effecti...
  • 3/18/2024 12:00:00 AM

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Cashier - Guest Service Expert
  • Wingstop
  • North Las Vegas, NV
  • Description: GUEST SERVICE EXPERT (CASHIER) Wingstop's best flavor is our people. Find your crew at one of our 1,500+ lo...
  • 3/16/2024 12:00:00 AM

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Cook - Flavor Expert (BOH)
  • Wingstop
  • North Las Vegas, NV
  • Description: FLAVOR EXPERT (COOK) Wingstop's best flavor is our people. Find your crew at one of our 1,500+ locations. W...
  • 3/15/2024 12:00:00 AM

U
REFERRAL SPECIALIST
  • UHS
  • Las Vegas, NV
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often ...
  • 3/14/2024 12:00:00 AM

J
Oral Delivery Dissolution Specification Expert (Consultant Remote)
  • JGB BioPharma Consulting Inc.
  • Las Vegas, NV
  • Seeking a Project CMC Statistician / Analytical Consultant to establish dissolution specifications based on in vitro and...
  • 3/14/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • North Las Vegas, NV
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/14/2024 12:00:00 AM

T
FT Member Services Specialist - Work From Home>
  • Transcarent
  • Henderson, NV
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/14/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,733 to $50,109
Las Vegas, Nevada area prices
were up 2.5% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020