- 31 active jobs (view)
- www.umcsn.com
Description
Physician Referral Specialist - 14132
$18.22 - $28.25 Hourly
Las Vegas, NV
Full Time
24-PRSOrtho
PAS - Outpatient Ortho Clinic - 8583
03/26/2024
4/2/2024 5:00 PM Pacific
Position Summary
COMPETITIVE SALARY & BENEFITS PACKAGE
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Coordinates the referral of patients to medical specialists as requested by physicians, including determining appropriate medical center affiliate to which to refer patients and obtaining pre-authorization for the referral.
Job Requirement
Education/Experience:
Equivalent to graduation from high school and three (3) years of experience in the health care field as a medical office assistant or comparable experience.
Licensing/Certification Requirements:
None required.
Additional and/or Preferred Position Requirements
Preferred: (Recent Experience, within the last 5 years, Experience with the following)- Recent experience with local insurance carriers and their guidelines in referral management i.e. Optum products, Medicare Advantage Plans & Medicaid HMO Plans;
- Recent experience in working with ICD10;
- Two years recent experience processing physician referrals, including obtaining prior authorizations either via web portal or fax;
- Recent experience with hands on communication with patients, physicians and other clinical staff to complete referral;
- Recent experience with multiple specialties.
**Recent Experience is within the last 5 years
Knowledge, Skills, Abilities, and Physical Requirements
Medical terminology; physician medical specialties; community medical/health care services; computers and associated software; department and hospital safety practices and principles; infection control policies and practices; patient rights; department and hospital emergency response policies and procedures.
Skill in:
Organizing and prioritizing work; maintaining information/data; using a personal computer and application software programs; networking with other health care organizations; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard office equipment, stamina to remain seated for long periods of time and maintain concentration, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.