REFERRAL SPECIALIST

St. Mary's Physician Associates; Enid (OK); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Competitive compensation

Generous Paid Time Off

Excellent Medical, Dental, Vision and药

Job summary

St. Mary’s Physician Associates in Enid, Oklahoma, is seeking an administrative professional to handle referrals, pre-authorization, and scheduling for multiple clinics.

You will liaise with SMPA providers, clinics, and patients to ensure accurate test coordination and proper documentation of medical necessity for insurance approvals. The role emphasizes timely communication, adherence to mission and values, and seamless coordination across the SMPA network and its affiliated facilities in the

Qualifications

• Experience scheduling referrals and coordinating tests.
• Ability to pre-authorize and pre-certify tests and procedures.
• Excellent communication with clinics, staff, and patients.

Responsibilities

• Schedule referrals for patients of SMPA providers.
• Pre-authorize and pre-cert tests for SMPA providers.
• Coordinate tests with facilities per provider requests.
• Communicate with SMPA clinics, referred clinics, and patients.
• Report medical necessity to insurance companies.

Skills

Scheduling referrals

Pre-authorization

Pre-certification

Effective communication

Job description

About St. Mary's Physician Associates

St. Mary’s Physician Associates is a multi-specialty group of employed physicians and midlevel providers that serve a ten-county area in NW Oklahoma. It is located in Enid, Oklahoma which is the county seat for Garfield County. The group has satellite clinics in Hennessey, Fairview, Okeene, Woodward, and Ponca City. St. Mary’s Physician Associates is affiliated with St. Mary’s Regional Medical Center, a 229-bed facility. The Hospital has been recognized as an “A” rated facility by the Leapfrog Group, has obtained The Joint Commission Advanced Primary Stroke Center certification and the first hospital in Oklahoma to obtain Advanced Total Joint Replacement certification. The Hospital has also received awards for the Top 100 Safe Care Hospitals in the US, Award of Excellence by Health Grades for their Total Joint Replacement Program, received a Women’s Choice Award for America’s Best Hospitals for Obstetrics, Patient Safety and Emergency Care, they were named as a Top Workplace in Oklahoma, and many other prestigious awards. None of those would be possible without the performance of an outstanding Medical Staff and St. Mary’s Physician Associates is the foundation of their strength.

Position Summary

Responsible for scheduling referrals for patients of St Mary’s Physician Associates providers, Pre-authorizing & pre-certing tests/procedures for St. Mary’s Physician Associates providers. Scheduling of other tests with facilities at the request of SMPA providers and/or staff. Directly communicates with the SMPA clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision and values of St. Mary’s Physician Associates, LLC.

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

As a St. Mary’s Physician Associates employee you will be part of a first class organization offering:

• A Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match

Requirements and Qualifications

• Responsible for scheduling referrals for patients of St Mary’s Physician Associates providers, Pre-authorizing & pre-certing tests/procedures for St. Mary’s Physician Associates providers.
• Scheduling of other tests with facilities at the request of SMPA providers and/or staff.
• Directly communicates with the SMPA clinics, referred to clinics, and patients.
• Reviews clinical data to report medical necessity to insurance companies.
• Performs all work with accord to the mission, vision and values of St. Mary’s Physician Associates, LLC.
• Communicates effectively with SMPA clinics and hospital.
• Communicates effectively with patients.
• Communicates information to appropriate areas, departments and individuals.
• Addresses patients in a polite, prompt and helpful manner
• Answers the phone within four (4) rings in a courteous manner identifying self and department.

About Universal Health Services (UHS), Inc.

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.