Coordinator-Authorization

SummaryThe 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 goalsRequirements, Preferences and ExperienceExperience Minimum:2 years' clerical/support experience in a medical environmentExperience Preferred:Previous authorization coordinator experienceEducation Minimum:High School Degree or equivalentEducation Preferred:Bachelor's degreeSpecial Skills Minimum:Solid intermediate computer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entryAbout Baptist Memorial Health CareAt 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 programJob Summary:Position: 19135 - Coordinator-AuthorizationFacility: BMHCC Corporate OfficeDepartment: HS Case Mgmt Administration CorporateCategory: Administrative Non Clinical SupportType: Non ClinicalWork Type: Full TimeWork Schedule: DaysLocation: US:TN:MemphisLocated in the Memphis metro area REQNUMBER: 21360