Physician Referral Specialist

Job Description:

Physician Referral Specialist

Description

Position Summary

EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
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.

Position Summary:
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 2 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; and Commerical HMO and PPO plans.Recent experience in working with ICD10;Two years recent experience processing primary care outgoing referrals, including obtaining referral authorizations either via insurance portal or fax or phoneRecent 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 2 years

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:
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.

The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:

• Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front
  • Vestingin the pension plan after 5 years of qualifying employment!
• Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage
• Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc.
• Extended Illness Bank (a/k/a Sick Bank)
• 457 Deferred Compensation Plan
• Comprehensive Group Health Insurance Plan
• Nevada has no State Income Tax
• No Social Security (FICA) Deduction

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.

THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER

Closing Date/Time: 6/19/2025 12:00 AM Pacific

Salary:

$19.06 - $29.55 Hourly