Referral Specialist

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.