Referral & Pre-Auth Coordinator

UHS; Enid (OK); On-site; USD 40,000 - 60,000; Full time

Job summary

St. Mary’s Physician Associates, Enid, OK, is seeking a referrals coordinator to schedule referrals for SMPA patients and to pre-authorize tests and procedures. You will coordinate with SMPA clinics, facilities, and patients to ensure timely access and proper documentation.

This role emphasizes accuracy, HIPAA compliance, and effective communication within a multi-provider setting. The position requires at least a high school diploma or GED and a minimum of two years in a healthcare setting,

Qualifications

• High school diploma or GED required.
• Minimum of two years’ experience in a healthcare or clinical setting.
• Knowledge of clinical terminology, insurance billing, coding, and HIPAA privacy standards preferred.
• Typing, 10 key and computer skills required.
• Proficiency in Microsoft Office applications required.
• Strong written and verbal communication skills essential.
• Experience with pre-authorizations and referrals is preferred.

Responsibilities

• Schedule referrals for patients of St. Mary’s Physician Associates providers.
• Pre-authorize and pre-cert tests and procedures for SMPA providers.
• Schedule tests with facilities as requested by SMPA staff.
• Communicate directly with SMPA clinics, referred clinics, and patients.
• Review clinical data to report medical necessity to insurance companies.

Skills

Healthcare terminology

Interpersonal communication

Typing & computer skills

Microsoft Office

HIPAA privacy knowledge

Multitasking & time management

Teamwork

Education

High school diploma or GED

Tools

Microsoft Office

Job description

St. Mary’s Physician Associates, Enid, OK, is seeking a referrals coordinator to schedule referrals for SMPA patients and to pre-authorize tests and procedures. You will coordinate with SMPA clinics, facilities, and patients to ensure timely access and proper documentation.

This role emphasizes accuracy, HIPAA compliance, and effective communication within a multi-provider setting. The position requires at least a high school diploma or GED and a minimum of two years in a healthcare setting,