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Overview



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

Located in the Memphis metro area

REQNUMBER: 27670