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Referral Coordinator II at SSM Health - ApplyBlast

Referral Coordinator II

SSM Health

5 months ago

3.4 on Glassdoor

Onsite

Full Time

Senior

0 applicants

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About this role

The Referral Coordinator II supports patient access and care coordination within a busy Cardiology specialty practice by coordinating provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans.

Responsibilities

Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans
Gathers necessary clinical information and processes referrals according to insurance plan requirements
Logs, tracks and reviews managed care approvals and denials
Responds to last minute/emergency referrals or additional codes performed during a procedure
Verifies insurance coverage, benefits and creates price estimates

Skills

Qualifications

High School diploma/GED or 10 years of work experienceOne year experience required

About SSM Health

ssmhealth.com

Headquarters

St. Louis, Missouri, United States

Company Size

10001+ employees

Founded

1872

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SSM Health is a Catholic, not-for-profit health system providing high-quality, compassionate, and personalized care to communities across Illinois, Missouri, Oklahoma, and Wisconsin.