Authorization & Referral Specialist at UNLV Medicine

Las Vegas, Nevada, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

21.63

Posted On

18 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Authorization Processing, Referral Processing, Scheduling, Follow Up, Customer Service, Organization, Workload Management, Accuracy, Bilingual English/Spanish, Health Plans Knowledge, Eligibility Knowledge, Guidelines Knowledge, Computer Proficiency, Typing Speed, ICD-9 Coding, CPT Billing Codes

Industry

Hospitals and Health Care

Description

The Authorization and Referral Specialist is responsible for the timely processing, submitting, scheduling and follow up of referrals and request for treatment authorizations as required by payer. The Authorization and Referral Specialist tracks existing referrals by program and payer. The Authorization and Referral Specialist position requires excellent customer service skills with patients, employees, and the public. Individual must also be flexible, organized and must be able to manage a demanding workload with accuracy. Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions. ADVANTAGES OF WORKING FOR UNLV HEALTH * Working Monday through Friday, 8AM to 5PM (Actual hours may vary depending on business need) * 12 Paid Holidays per year, starting with your first day of employment * 20 + PTO days per year (Depending on Position) * 3% 401K Contribution, even if you do not contribute * Medical, Dental, and Vision benefits that start the first of the month following your start date EDUCATIONAL REQUIREMENTS * High School Diploma or equivalency QUALIFICATIONS * Two years in the medical field to include front office, appointment scheduling and referral authorization * Must be Bilingual English/Spanish * Knowledge of health plans, eligibility and guidelines * Demonstrated ability to read, write and speak English * Demonstrated ability to use a computer * Minimum typing speed of 35 wpm * Experience with the Seriously Mentally Ill population preferred * Knowledge of ICD-9 and CPT billing codes a plus PHYSICAL REQUIREMENTS * May include standing, sitting, and/or walking for extended periods * May include performing repetitive tasks * May include lifting up to 25 pounds UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law. If you have any questions about our interview and hiring procedures, please contact Recruitment at healthjobs@medicine.unlv.edu.

Responsibilities

The specialist is responsible for the timely processing, submission, scheduling, and follow-up of treatment authorizations and referrals as required by payers, while also tracking existing referrals by program and payer.