Referral Coordinator

🔥 5 hours ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Attend in-services provided by various health plans • Travel to off-site locations as necessary • Gather clinical information and process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements • Log, track, and review managed care approvals and denials • Respond to last-minute/emergency referrals, additional procedure codes, and procedural changes for pre-authorizations • Verify insurance coverage and benefits and create price estimates and reverifications as needed • Work collaboratively with insurance companies, providers, and staff to ensure plan requirements are met before patient services are rendered and maximize reimbursement • Perform all other duties as assigned

🎯 Requirements

• High School diploma/GED or 10 years of work experience • No experience required • Ability to attend health plan in-services • Ability to travel to off-site locations as necessary • Ability to gather clinical information and process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements • Ability to log, track, and review managed care approvals and denials • Ability to respond timely to last-minute/emergency referrals, additional procedure codes, and procedural changes • Ability to verify insurance coverage and benefits and create price estimates and reverifications • Ability to collaborate with insurance companies, providers, and staff • Frequent keyboard use/data entry • Required professional licenses and/or certifications: None • Ability to perform the stated physical requirements, including frequent lifting/carrying and pushing/pulling of objects weighing 0–25 lbs, occasional objects weighing 25–50 lbs, and rare climbing

🏖️ Benefits

• Regular employee status • Day shift • 40 scheduled hours per week • Equal employment opportunities