[Hiring] Prior Authorization Role RCM @BJC HealthCare

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Role Description

    This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to prevent rescheduling the patient or risking net revenue loss.
  • Obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group
  • Maintain positive relationships
  • Ensure technology supports the scripting and validation of authorization and NOA
  • Represent BJC with the highest standard of customer service and compassion
  • Facilitate components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance
  • Ensure accurate patient data is obtained and populated into the patient record, particularly authorization data and status
  • Possess exceptional attention to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies
    Qualifications
  • High School Diploma or GED
  • 2-5 years of experience
    Requirements
  • Associate's Degree (preferred)
  • 5-10 years of experience (preferred)
  • CHAA certification (preferred)
    Benefits
  • Comprehensive medical, dental, vision, 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

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