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SSM Health · 0207 St. Mary's Hospital -Centralia · Centralia, IL

Referral Coordinator

TypeFull time
ScheduleMon–Fri · Days
Experience10+ yrs
PostedOct 26
✓You’ll need
Certifications
✓Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements.
Education
✓High School diploma/GED or 10 years of work experience
SSM Health
Nonprofit · Saint Louis, MO · 40 hospitals · 4 states
1,943open roles
1administration role open at this facility
61 miCentralia to St. Louis
Want the next administration job in Illinois by email?
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✓You’ll need
Certifications
✓Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements.
Education
✓High School diploma/GED or 10 years of work experience
SSM Health
Nonprofit · Saint Louis, MO · 40 hospitals · 4 states
1,943open roles
1administration role open at this facility
61 miCentralia to St. Louis
Want the next administration job in Illinois by email?
Weekly, free, unsubscribe with one click.

Full employer posting

It's more than a career, it's a calling. IL-SSM Health St. Mary's Hospital - Centralia Worker Type: Regular Job Highlights: Join a team where your work matters – every moment, every patient, every community.

At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. In this role, you will provide hands-on support in a fast-paced care environment where every shift makes a direct impact on patients and families. Your attention to detail, compassion, and ability to work closely with clinical teams will help create a safer, smoother care experience.

If you enjoy interacting with patients and want to grow in a collaborative care setting, this role is perfect for you. Department: Sleep Lab

Monday through Friday from 8am to 4:30pm Apply today. SSM Health – We bring out the incredible in you, every day.

$16.41 - $24.62 Pay Rate Type: Hourly SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting.

SSM Health may ultimately pay more or less than the posted range as permitted by law.

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

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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 High School diploma/GED or 10 years of work experience EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication.

Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping.

Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. Required professional license and/or certifications None Department: 3602000207 Sleep Disorders Testing Work

Day Shift Scheduled Weekly Hours: 40 SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.

Read our notice of non-discrimination

About the role

In this role, you will provide hands-on support in a fast-paced care environment where every shift makes a direct impact on patients and families. Your attention to detail, compassion, and ability to work closely with clinical teams will help create a safer, smoother care experience. If you enjoy interacting with patients and want to grow in a collaborative care setting, this role is perfect for you.