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Referral Coordinator II at SSM Health - ApplyBlast

Referral Coordinator II

SSM Health

5 months ago

3.4 on Glassdoor

St. Louis, Missouri

Onsite

Full Time

Junior

0 applicants

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About this role

This role coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans at DePaul Hospital. The employee gathers clinical information, verifies coverage, and collaborates with insurance companies to maximize reimbursement while scheduling patient appointments. The position requires attending health plan in-services and responding to emergency referrals.

Responsibilities

Coordinate provider referrals and pre-certifications for managed care plans
Gather clinical information to process pre-authorization requests
Verify insurance coverage and benefits for patients
Respond to emergency referrals and procedural changes promptly
Schedule patient appointments and prergister for services

Skills

Qualifications

High School Diploma or GED

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.