REFERRAL SPECIALIST

UHSEnid, OK

About The Position

Responsible for scheduling referrals for patients of St Mary’s Physician Associates providers, Pre-authorizing & pre-certing tests/procedures for St. Mary’s Physician Associates providers. Scheduling of other tests with facilities at the request of SMPA providers and/or staff. Directly communicates with the SMPA clinics, referred to clinics, and patients. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision and values of St. Mary’s Physician Associates, LLC.

Requirements

  • Responsible for scheduling referrals for patients of St Mary’s Physician Associates providers, Pre-authorizing & pre-certing tests/procedures for St. Mary’s Physician Associates providers.
  • Scheduling of other tests with facilities at the request of SMPA providers and/or staff.
  • Directly communicates with the SMPA clinics, referred to clinics, and patients.
  • Reviews clinical data to report medical necessity to insurance companies.
  • Performs all work with accord to the mission, vision and values of St. Mary’s Physician Associates, LLC.
  • Communicates effectively with SMPA clinics and hospital.
  • Communicates effectively with patients.
  • Communicates information to appropriate areas, departments and individuals.
  • Addresses patients in a polite, prompt and helpful manner.
  • Answers the phone within four (4) rings in a courteous manner identifying self and department.

Responsibilities

  • Scheduling referrals for patients of St Mary’s Physician Associates providers
  • Pre-authorizing & pre-certing tests/procedures for St. Mary’s Physician Associates providers
  • Scheduling of other tests with facilities at the request of SMPA providers and/or staff
  • Directly communicates with the SMPA clinics, referred to clinics, and patients
  • Reviews clinical data to report medical necessity to insurance companies
  • Performs all work with accord to the mission, vision and values of St. Mary’s Physician Associates, LLC
  • Communicates effectively with SMPA clinics and hospital
  • Communicates effectively with patients
  • Communicates information to appropriate areas, departments and individuals
  • Addresses patients in a polite, prompt and helpful manner
  • Answers the phone within four (4) rings in a courteous manner identifying self and department

Benefits

  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match
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