Referral Coordination Specialist

Universal Health Services; Enid (OK); In loco; USD 36.000 - 48.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive compensation

Generous paid time off

Excellent medical, dental, vision, and

Prescription drug plans

401(K) with company match

Descrizione del lavoro

St. Mary’s Physician Associates in Enid, Oklahoma seeks an experienced referral coordinator to manage referrals, pre-authorizations, and scheduling for multiple clinics within the SMPA network. You will liaise with clinics and patients, review clinical data, and ensure timely submission of medical necessity information to insurers.

The role emphasizes accurate data handling, HIPAA compliance, and teamwork within a mission-driven organization dedicated to patient care and service quality.

Competenze

• Two or more years of experience in a healthcare or clinical setting.
• Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, HIPAA privacy standards is strongly preferred.
• Proficiency in Microsoft Office applications.
• Effective written and verbal communication skills.
• Strong planning, organizational and analytical abilities.
• Ability to multitask and meet established time frames.
• Understanding of third party reimbursement regulations is preferred.

Mansioni

• Schedule referrals for patients of SMPA providers and pre-authorize/pre-cert tests and procedures.
• Schedule tests with facilities at the request of SMPA providers and staff.
• Direct communication with SMPA clinics, referred clinics, and patients.
• Review clinical data to report medical necessity to insurance companies.

Conoscenze

Healthcare scheduling

Pre-authorization

Communication

Customer service

Multi-tasking

Analytical skills

Formazione

High school diploma or GED

Strumenti

Microsoft Office

10-key data entry

Descrizione del lavoro

St. Mary’s Physician Associates in Enid, Oklahoma seeks an experienced referral coordinator to manage referrals, pre-authorizations, and scheduling for multiple clinics within the SMPA network. You will liaise with clinics and patients, review clinical data, and ensure timely submission of medical necessity information to insurers.

The role emphasizes accurate data handling, HIPAA compliance, and teamwork within a mission-driven organization dedicated to patient care and service quality.