Referral Coordinator

SSM Health

. Attend in-services provided by various health plans .

Posted 10/6/2026full-timeRemote • Oklahoma • United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates the ability to gather clinical information and process referrals, pre-certifications, and pre-authorizations according to insurance plan requirements while collaborating effectively with insurance companies and healthcare providers. Proficient in verifying insurance coverage and creating price estimates to maximize reimbursement.

Highest-signal resume keywords

Clinical Information GatheringReferral ProcessingInsurance Coverage VerificationManaged Care Approval TrackingCollaboration with Insurance Companies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral ProcessingPre-Certification ProcessingPre-Determination ProcessingPre-Authorization ProcessingInsurance Coverage VerificationPrice EstimationData EntryManaged Care Approval Tracking

Soft Skills

CollaborationTimely ResponseAdaptability

Industry Keywords

Managed CareHealth PlansInsurance RequirementsPatient ServicesEmergency Referrals

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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