Sleep Lab Referral Coordinator – Day Shift

SSM Health; Centralia (IL); On-site; USD 22,000 - 33,000; Full time

Job summary

SSM Health St. Mary's Hospital - Centralia is seeking a Sleep Lab support role to coordinate referrals and manage pre-authorizations in a fast-paced care setting. You will work closely with clinical teams to ensure timely patient access and compliant insurance processing.

This regular, day-shift position pays an hourly wage of $16.41–$24.62 and requires a High School diploma or equivalent. Travel to off-site locations and attention to detail are important for success.

Qualifications

• High School diploma/GED or 10 years of work experience
• No experience required

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‑authorizations 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 Medicaid's).
• 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.
• Performs all other duties as assigned.

Education

High School diploma/GED or 10 years of work experience

Job description

SSM Health St. Mary's Hospital - Centralia is seeking a Sleep Lab support role to coordinate referrals and manage pre-authorizations in a fast-paced care setting. You will work closely with clinical teams to ensure timely patient access and compliant insurance processing.

This regular, day-shift position pays an hourly wage of $16.41–$24.62 and requires a High School diploma or equivalent. Travel to off-site locations and attention to detail are important for success.