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Job Description​

The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for pre and post transplant testing and prescriptions ordered by the transplant programs. The position regularly interacts and collaborates with clinicians, technicians, other department staff and payer representatives to gather and submit necessary information, and then communicates with patients regarding their benefits and expected out-of-pocket costs. This position will encompass other duties as assigned to support the transplant financial team.

+ Obtains precertification/prior authorizations for pre and post transplant testing and prescriptions ordered by the transplant programs as required by insurance prior to scheduled date for both facility and physician

+ Coordinates with provider to ensure that patient’s condition meets insurance eligibility criteria

+ Updates appropriate work queues within Epic, including notes with updates on calls made, departments/people spoke with, prior auth numbers and authorization periods

+ Interacts with the Financial Clearance Center Team to coordinate information needed to communicate benefits and patient responsibility for the facility billing portion

We are looking for someone that is excited about working with people and has a positive attitude. The ideal candidate has strong computer and critical thinking skills and can multitask in a fast-paced work environment.

Why Saint Luke’s?

We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees:

+ Medical health plans

+ Tuition reimbursement

+ Paid time off

+ Retirement contributions

+ Employee Assistance Program

Job Requirements

Applicable Experience:

Less than 1 year

Job Details

Full Time

Day (United States of America)

_The best place to get care. The best place to give care_** **. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.