REFERRAL SPECIALIST

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/

Position Summary:

• Responsible for 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. The lead is expected to problem solve and make decisions and take escalated calls to triage and manage as appropriate.
• Coordinates work schedules and absences of team members.
• Serves as a resource to other members of the team for technical or work challenges.
• Demonstrates and coaches exceptional patient interaction and following standard process for referral specialist.
• Assists the Practice Administrator in day-to-day operations to deliver the highest quality care to patients in an efficient manner.

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 P