Referral Coordinator Lead
SSM Health · Oklahoma City, OK
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OK-SSM Health St. Anthony Hospital - Oklahoma City
Worker Type
Regular
Job Highlights
- · Department: Orthopedics
- · Schedule: FT, Days
- · Location: OKC
About the Job
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: 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.
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 supervisor's 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
7312020167 SAPO ORTH SPTS MED MT
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.