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Ssmh

Referral Coordinator II

MO-SSM Health SLUCare Academic Paviliononsitemid$52K – $104K

Posted today · via Workday

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About this role

It's more than a career, it's a calling. MO-SSM Health SLUCare Academic Pavilion Worker Type: Regular Job Highlights: This is a full-time, day-shift position working Monday-Friday from 7:30-4:00PM. The role requires one of referral coordianor experience. Job Summary: Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. Job Responsibilities and Requirements: 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.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

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2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in MO-SSM Health SLUCare Academic Pavilion. We weight your proximity and willingness to relocate.

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