Referral Specialist jobs in Nevada

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 when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. 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
  • Northern Nevada Medical Group
  • Sparks, NV FULL_TIME
  • Responsibilities:
    ABOUT NORTHERN NEVADA MEDICAL GOUP

    Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Our providers offer wellness services, family, geriatric and internal medicine, along with specialty care including cardiology, general surgery, podiatry and pulmonary medicine. We have locations across the Truckee Meadows in addition to the rural communities of Fallon, Nevada and Bishop, California.


    Website:https://www.nnmg.com


    The Referral Specialist is responsible for scheduling referrals for patients, providers, pre-authorizing & pre-certing 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. Performs all work with accord to the mission, vision and values of the practice.

    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.

    As a Northern Nevada Medical Group employee you will be part of a first class organization offering:

    • 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

    About Universal Health Services:
    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:
    Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):

    • Minimum of two years expeirence in a healthcare or clinical settting.
    • Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance regulations and HIPAA privacy standards is strongly preferred.
    • Typing, 10 key and computer skills required.
    • Proficiency in Microsoft Office applications required.
    • Required effective interpersonal 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 work flow 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.
    • Excellent customer service skills and must be able to work independently.

    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.
    Salary: Starting from $15.38 to $22.79 an hour
  • 22 Days Ago

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Referral specialist
  • The Valley Health System
  • 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 Day Ago

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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 Veg...
  • 8 Days Ago

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REFERRAL SPECIALIST
  • Universal Health Services, Inc.
  • 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...
  • 27 Days Ago

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Pedo-Ortho Referral Specialist
  • Choice Healthcare Services
  • North Las Vegas, NV FULL_TIME
  • Overview Pedo-Ortho Referral Specialist - Bilingual Summary:We are seeking a highly skilled Pedo-Ortho Referral Specialist to join our team. This individual will be responsible for maintaining both pe...
  • 8 Days Ago

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Referral Specialist - Imaging Authorizations
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose This position’s primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be respo...
  • 1 Month Ago

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Referral Specialist
  • The South Bend Clinic
  • South Bend, IN
  • Overview: Department: Business Office Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635...
  • 4/26/2024 12:00:00 AM

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Referral Specialist
  • Universal Health Services
  • Las Vegas, NV
  • Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often ...
  • 4/26/2024 12:00:00 AM

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Referral Specialist
  • Matthew Walker Comprehensive Health Center
  • Nashville, TN
  • Job Description Job Description Matthew Walker Comprehensive Health Center has an exciting opportunity available for a s...
  • 4/26/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Columbus, GA
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/25/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Hollywood, FL
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/25/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Fort Lauderdale, FL
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/25/2024 12:00:00 AM

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Referral Specialist
  • Elevance Health
  • Clearwater, FL
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/25/2024 12:00:00 AM

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Referral Specialist
  • State Farm
  • Schertz, TX
  • Job Description Job Description Outbound calling generating leads/appointments/sales by phone. 4-hour shift Monday-Frida...
  • 4/23/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,579 to $49,818

Referral Specialist in Paramus, NJ
The information and referral series is designed to promote public access to a variety of services available through local agencies and programs.
January 20, 2020
Referral Specialist in Clarksville, TN
These referrals are for individuals requiring services related to quality early learning and licensed child care, and children, youth, and adults with developmental disabilities including Coordinated Information Peel, Respite Services and Kids Pathways Peel.
January 29, 2020
Referral Specialist in Fairbanks, AK
A referral specialist may be required to communicate via email and letter, phone, or in person.
December 12, 2019