Referral Coordinator Oncology

Its more than a career its 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 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.
• 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 Medicaids).
• 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

EXPERIENCE

PHYSICAL REQUIREMENTS

REQUIRED PROFESSIONAL LICENSE AND / OR CERTIFICATIONS

Department : 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.

Required Experience :

IC

Key Skills

Hospital Experience,Acute Care,Basic Life Support,ICU Experience,Infusion Experience,Triage,TFS,Conflict Management,Nursing,Critical Care Experience,Epic,Medication Administration

Employment Type : Full-Time

Experience : years

Vacancy : 1