Overview
Coordinator-Authorization – ME Case Management Admin Baptist Jobs in Memphis, Tennessee, USA at Lensa
Position: Coordinator-Authorization – ME Case Management Admin Baptist Memphis
Baptist Memorial
Coordinator-Authorization – ME Case Management Admin Baptist Memphis
Location:
Memphis, TN
Job 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 focus 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
Communicates incorrect payer with patient access.
Communicates 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
Experience Minimum: 2 years’ clerical/support experience in a medical environment.
Education Minimum: High School Degree or equivalent.
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.
We
Offer:
Paid vacation/time off
Continuing education opportunities
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
Facility: BMH – Central Business Office
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:
TN:
Memphis
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
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Title: Coordinator-Authorization – ME Case Management Admin Baptist
Company: Lensa
Location: Memphis, Tennessee, USA
Category: Healthcare (Healthcare Administration, Medical Billing and Coding, Medical Office), Administrative/Clerical (Healthcare Administration)
