Referral Coord - Radiology

It's more than a career, it's a calling.

MO-SSM Health St. Mary's Hospital - Jefferson City

Worker Type : Regular

Job Highlights :

Department : Imaging - Special Procedures

Schedule : Full Time, Days? M-F 8 : 30a - 5p

Starting Pay : $16.00+

Location : Jefferson City, MO

Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. Our Referral Coordinator roles are an integral piece in our care team and we see it as a partnership. This position will support a busy, fast-paced, growing IR department. Ideal candidates need medical office experience to include authorizations, medical terminology, computer work, etc. At SSM Health, we know the healing power of presence begins with compassionate people like you.

Daily Pay : Get paid daily doing the work you love in a way that fits your life. At SSM Health, we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.

Job Summary :

Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans.

Job Responsibilities and Requirements :

PRIMARY 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-authorizes 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

EXPERIENCE

PHYSICAL REQUIREMENTS

REQUIRED PROFESSIONAL LICENSE AND / OR CERTIFICATIONS

Department :

4203000011 Special Procedures - Radiology

Work Shift :

Day Shift (United States of America)

Scheduled Weekly Hours :

40

Benefits :

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

Flexible Payment Options : our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.