• Location: Oklahoma City, OK
• Type: Contract
• Job #84281

APR Consulting, Inc. has been engaged to identify a Referral Coordinator II
 
Location: Oklahoma City, OK 73118
Position: Referral Coordinator II
Pay Rate: $21.33/hr
Duration: 13 weeks
Expected Shift: 40 hrs/week
on-site;7a-4:30p Monday through Friday. Fridays rotate every other week as 8a-1p or 8a-4p
 
JOB SUMMARY
Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans.
 
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 creates 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.
• Preregisters patients for appointments.
• Schedules patients for appointments appropriately.
• Performs all other duties as assigned.
 
 
**MINIMUM REQUIREMENTS**
EDUCATION
• High School diploma/GED or 10 years of work experience
EXPERIENCE
• One year experience required
 
Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.
 
 
This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.
 
Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.
 
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
 
Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!