Referral Coordinator - Oncology at SSM Health

Oklahoma City, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jan, 26

Salary

16.41

Posted On

25 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral Coordination, Pre-Certification, Pre-Authorization, Insurance Verification, Patient Scheduling, Clinical Information Gathering, Managed Care, Collaboration, Communication, Data Entry, Problem Solving, Time Management, Teamwork, Customer Service, Attention to Detail, Adaptability

Industry

Hospitals and Health Care

Description

It's more than a career, it's a calling. OK-SSM Health St. Anthony Hospital - Oklahoma City Worker Type: Regular Job Highlights: · Department: Oncology · Schedule: Full Time, Days · Starting Pay: $16.41+ · Location: St. Anthony OKC Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. Our Referral Coord 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: Get paid daily doing 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. Travels to off-site locations as necessary. Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements. Logs, tracks and reviews managed care approvals and denials. Responds in a timely manner to last minute/emergency referrals or additional codes performed during a procedure, or procedural changes for pre-authorizations. Verifies insurance coverage, benefits and creatrs price estimates, reverifications as needed (ex; first of the month reverifications for managed Medicaid's). 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. Preregisters patients for appointments. Schedules patients for appointments appropriately. Performs all other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE One year experience required 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. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Department: 6880020040 SAPO CSOO Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: 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. Explore All Benefits 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.

Responsibilities

Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. Works collaboratively with insurance companies, providers, and staff to ensure plan requirements have been met prior to patient services being rendered.