Referral & Pre-Auth Care Coordinator

St. Mary's Physician Associates; Enid (OK); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Competitive compensation

Generous paid time off

Excellent medical, dental, vision, and

401(k) with company match

Job summary

St. Mary’s Physician Associates in Enid, Oklahoma, is seeking a detail-oriented Scheduling Specialist to manage referrals, pre-authorizations, and scheduling of tests for SMPA providers. The role emphasizes accurate data review and clear communication with clinics and patients.

The ideal candidate will have healthcare experience, strong typing and computer skills, and solid knowledge of insurance processes and HIPAA. Join a multi-specialty team dedicated to accessible patient care.

Qualifications

• High school graduate or GED required.
• Minimum of two years’ experience in a healthcare or clinical setting.
• Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, and HIPAA privacy standards is strongly preferred.
• Typing, 10 key and computer skills required.
• Proficiency in Microsoft Office applications required.
• Excellent written and oral communication skills required.
• Ability to evaluate clinical data for pre-authorizations and referrals is preferred.

Responsibilities

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

Skills

Interpersonal skills

Communication

Typing

Microsoft Office

Understanding clinical terminology

Insurance billing knowledge

HIPAA privacy knowledge (preferred)

Time management

Multi-tasking

Education

High school graduate or GED

Tools

Microsoft Office

Job description

St. Mary’s Physician Associates in Enid, Oklahoma, is seeking a detail-oriented Scheduling Specialist to manage referrals, pre-authorizations, and scheduling of tests for SMPA providers. The role emphasizes accurate data review and clear communication with clinics and patients.

The ideal candidate will have healthcare experience, strong typing and computer skills, and solid knowledge of insurance processes and HIPAA. Join a multi-specialty team dedicated to accessible patient care.