Job Information
Baptist Memorial Coordinator-Authorization - ME Case Management Admin Baptist Memphis in Memphis, Tennessee
Summary
The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and UR Team.
Responsibilities
Completes payer notification
Communicates incorrect payer with patient access
Communicate with Utilization Review Nurse
Works assigned queues in the electronic medical record
Documents next review dates in the electronic medical record
Documents and updates authorized or denied information on auth/cert screen in the electronic medical record
Schedules peer to peer when indicated
Completes assigned goals
Requirements, Preferences and Experience
Experience Minimum:
2 years' clerical/support experience in a medical environment
Experience Preferred:
Previous authorization coordinator experience
Education Minimum:
High School Degree or equivalent
Education Preferred:
Bachelor's degree
Special Skills Minimum:
Solid intermediate computer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entry
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
Competitive salaries
Paid vacation/time off
Continuing education opportunities
Generous retirement plan
Health insurance, including dental and vision
Sick leave
Service awards
Free parking
Short-term disability
Life insurance
Health care and dependent care spending accounts
Education assistance/continuing education
Employee referral program
Job Summary:
Position: 18394 - Coordinator-Authorization
Facility: BMH - Central Business Office
Department: HS Case Mgmt Administration Corporate
Category: Administrative Non Clinical Support
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area REQNUMBER: 25111
