• Insurance Coordinator

    BJC HealthCare (St. Louis, MO)


    **City/State:** Saint Louis, Missouri

    **Categories:** Financial Services

    **Job Status:** Full-Time

    **Req ID** : 97489

    **Pay Range:** $15.00 – $23.88 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

     

    Additional Information About the Role

     

    BJC Home Care is looking for an Insurance Coordinator for our Home Medical Equipment Department!

     

    On Site Position

     

    Monday - Friday

     

    8am-4:30pm

     

    Overview

     

    **BJC Home Care** offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs.

     

    BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.

     

    The Home Medical Equipment Department of BJC Home Care Services offers quality medical equipment and services that our patients can purchase or rent. We offer equipment delivery and comprehensive training on the use of the equipment. The Home Medical Equipment Department also provides home respiratory equipment, supplies and services for patients who need home oxygen or other respiratory therapies, with staff that include registered therapists and other highly trained professionals.

    Preferred Qualifications

    Role Purpose

     

    The Insurance Authorization Coordinator is responsible for ensuring that the organization has the appropriate insurance benefit, pre-certification and pre-authorization information for patients prior to the provision of care.

    Responsibilities

    + Utilizes multiple platforms and/or vendor-based applications to investigate and determine benefits, pre-certification, and pre-authorization status.

    + Communicates with insurance companies and patients regarding benefit, pre-certification, and pre-authorization requirements and status to ensure appropriate insurance authorization is secured prior to service.

    + Answers phone calls and directs issues to the appropriate person for resolution; verifies the receipt of patient insurance authorizations and ensures that all authorizations stay current.

    + Provides assistance to the clerical and clinical team regarding the requirements for benefits, pre-authorization and re-authorization for patients.

    + Communicates benefit and/or authorization issues in a timely manner to all staff; ensures that patient care is not delayed.

    + Performs accurate and timely entry of benefit information into the patient chart.

    + Understands, monitors, and completes all work queues regarding authorizations and/or benefits, per the request of the Lead Coordinator.

    Minimum Requirements

    Education

    + High School Diploma or GED

    Experience

    + <2 years

    Preferred Requirements

    Education

    + Associate's Degree

    Supervisor Experience

    + No Experience

     

    Benefits and Legal Statement

     

    BJC Total Rewards

     

    At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

     

    + Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date

    + Disability insurance* paid for by BJC

    + Annual 4% BJC Automatic Retirement Contribution

    + 401(k) plan with BJC match

    + Tuition Assistance available on first day

    + BJC Institute for Learning and Development

    + Health Care and Dependent Care Flexible Spending Accounts

    + Paid Time Off benefit combines vacation, sick days, holidays and personal time

    + Adoption assistance

     

    To learn more, go to our Benefits Summary (https://www.bjctotalrewards.org/Benefits)

     

    *Not all benefits apply to all jobs

     

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer