Baptist Memorial Health Care
Coordinator-Authorization
Baptist Memorial Health Care
The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist’s reimbursement strategy. The focus is on prior authorization for services using evidence‑based criteria. Key duties include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and utilization review team.
Responsibilities
Completes payer notification
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
Experience
Minimum Required:
2 years’ clerical/support experience in a medical environment.
Preferred/Desired:
Previous authorization coordinator experience.
Education
Minimum Required:
High School Degree or equivalent.
Preferred/Desired:
Bachelor’s degree.
Special Skills
Solid intermediate computer skills (Microsoft Office Suite); knowledge of medical terminology and insurance; accurate data entry.
Seniority level Entry level
Employment type Other
Job function Other
Industries Hospitals and Health Care
#J-18808-Ljbffr
The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist’s reimbursement strategy. The focus is on prior authorization for services using evidence‑based criteria. Key duties include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and utilization review team.
Responsibilities
Completes payer notification
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
Experience
Minimum Required:
2 years’ clerical/support experience in a medical environment.
Preferred/Desired:
Previous authorization coordinator experience.
Education
Minimum Required:
High School Degree or equivalent.
Preferred/Desired:
Bachelor’s degree.
Special Skills
Solid intermediate computer skills (Microsoft Office Suite); knowledge of medical terminology and insurance; accurate data entry.
Seniority level Entry level
Employment type Other
Job function Other
Industries Hospitals and Health Care
#J-18808-Ljbffr