Referral Coordinator Lead
Job Location:
Oklahoma City, OK - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Its more than a career its a calling.
OK-SSM Health St. Anthony Hospital - Oklahoma CityWorker Type:
RegularJob Highlights:
Department: Orthopedics
Schedule: FT Days
Location: OKC
Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. Our Referral Coordinator roles are an integral piece in our care team and we see it as a partnership. At SSM Health we know the healing power of presence begins with compassionate people like you.
Daily Pay: Getpaiddailydoing the work you love in a way that fits your life. At SSM Health we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.
Job Summary:
Coordinates provider referrals pre-certifications and pre-authorizations for managed care insurance plans.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Attends in-services provided by various health plans and conveys changes in insurance plan requirements to appropriate staff.
- Maintains and provides training materials and education regarding insurance plans to staff.
- Travels to off-site locations as necessary.
- Provides support to the staff in the supervisors absence.
- Assists supervisors in reviewing and reporting metrics.
- Works collaboratively with insurance companies providers and staff to ensure plan requirements have been met prior to patient services being rendered in order to maximize reimbursement to the system.
- Performs all other duties as assigned.
EDUCATION
- High School diploma/GED or 10 years of work experience
EXPERIENCE
- Three years experience
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting standing walking reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms malfunctioning machinery etc.
- Frequent keyboard use/data entry.
- Occasional bending stooping kneeling squatting twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
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REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
- None
Department:
SAPO ORTH SPTS MED MTWork Shift:
Day Shift (United States of America)Scheduled Weekly Hours:
40Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options:our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned unpaid base pay(fees may apply)before payday.
Upfront Tuition Coverage:we provide upfront tuition coverage through FlexPath Funded for eligible team members.
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race color religion national origin age disability sex sexual orientation gender identity pregnancy veteran status or any other characteristic protected by applicable law. Click here to learn more.
Required Experience:
IC
About Company
SSM Health is a Catholic, not-for-profit health system providing high-quality, compassionate, and personalized care to communities across Illinois, Missouri, Oklahoma, and Wisconsin.
